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General NPI Number Information
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NPI Number | 1407283369
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Entity Type | Organization
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Legal Business Name | BH MANAGEMENT SERVICES, LLC
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Dates
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Enumeration Date | 10/08/2013
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Last Update Date | 10/08/2013
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Provider Practice Location Address
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Address Line | 2109 OTOOLE AVE SUITE C
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City | SAN JOSE
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State | CA
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Zip | 95131-1338
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Country | US
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Telephone | 669-222-9264
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Fax | 408-824-5082
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Provider Business Mailing Address
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Address Line | 2109 OTOOLE AVE SUITE C
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City | SAN JOSE
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State | CA
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Zip | 95131-1338
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Country | US
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Telephone | 669-222-9264
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Fax | 408-824-5082
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARVIN L STORM
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Credential |
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Telephone | 669-222-9264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | BHC101SCC
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License Number State | CA
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