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General NPI Number Information
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NPI Number | 1417034174
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Entity Type | Organization
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Legal Business Name | EHLERS HOLDINGS INC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 11/19/2011
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Provider Practice Location Address
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Address Line | 611 GRIDER WAY
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City | STOCKTON
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State | CA
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Zip | 95210-3920
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Country | US
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Telephone | 209-476-0812
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Fax | 209-476-0403
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Provider Business Mailing Address
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Address Line | PO BOX 1418
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City | LODI
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State | CA
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Zip | 95241-1418
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Country | US
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Telephone | 209-368-8845
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Fax | 209-368-0191
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARK EHLERS
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Credential |
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Telephone | 209-368-8845
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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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