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General NPI Number Information
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NPI Number | 1417255761
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Entity Type | Organization
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Legal Business Name | RECOVERY DME INC.
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Dates
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Enumeration Date | 03/10/2011
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Last Update Date | 06/17/2019
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Provider Practice Location Address
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Address Line | 9449 BALBOA AVE STE 110
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City | SAN DIEGO
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State | CA
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Zip | 92123-4336
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Country | US
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Telephone | 800-214-8618
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Fax | 800-858-9460
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Provider Business Mailing Address
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Address Line | 9449 BALBOA AVE STE 110
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City | SAN DIEGO
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State | CA
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Zip | 92123-4336
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Country | US
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Telephone | 800-214-8618
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Fax | 800-858-9460
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Authorized Official
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Title or Position | CEO
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Name | NICOLAS IZATT
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Credential |
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Telephone | 800-214-8618
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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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