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General NPI Number Information
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NPI Number | 1396506937
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Entity Type | Organization
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Legal Business Name | DECORATED DOMES
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Dates
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Enumeration Date | 01/22/2024
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 216 EAGLE LN
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City | PALMDALE
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State | CA
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Zip | 93551-3613
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Country | US
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Telephone | 310-435-0266
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1393
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City | MABLETON
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State | GA
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Zip | 30126-1006
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHINA UPSHAW
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Credential |
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Telephone | 310-435-0266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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