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General NPI Number Information
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NPI Number | 1386158269
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Entity Type | Organization
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Legal Business Name | MEDPROPRODUCT INC
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Dates
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Enumeration Date | 11/29/2017
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Last Update Date | 02/20/2020
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Provider Practice Location Address
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Address Line | 925 HALE PL STE A7
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City | CHULA VISTA
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State | CA
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Zip | 91914-3507
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Country | US
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Telephone | 619-934-0563
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Fax | 619-789-4550
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Provider Business Mailing Address
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Address Line | 925 HALE PL STE A7
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City | CHULA VISTA
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State | CA
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Zip | 91914-3507
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Country | US
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Telephone | 619-934-0563
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Fax | 619-789-4550
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Authorized Official
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Title or Position | CEO
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Name | JOSE MANUEL SUAREZ
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Credential |
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Telephone | 619-934-0563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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