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General NPI Number Information
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NPI Number | 1407945249
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Entity Type | Organization
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Legal Business Name | PROCARE MEDICAL SUPPLY AND DISTRIBUTION INC
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1910 W REDONDO BEACH BLVD
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City | GARDENA
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State | CA
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Zip | 90247-3624
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Country | US
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Telephone | 310-515-0507
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Fax | 310-515-1668
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Provider Business Mailing Address
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Address Line | 1910 W REDONDO BEACH BLVD
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City | GARDENA
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State | CA
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Zip | 90247-3624
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Country | US
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Telephone | 310-515-0507
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Fax | 310-515-1668
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREW ADEDAPO ADESIDA
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Credential |
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Telephone | 310-748-9904
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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 | 332B00000X
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License Number State | CA
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