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1417978065 NPI number — LODI SICK ROOM SUPPLY INC

NPI Number: 1417978065
Health Care Provider/Practitioner: LODI SICK ROOM SUPPLY INC

Information about “1417978065” NPI (LODI SICK ROOM SUPPLY INC) exists in 1417978065 in HTML format HTML  |  1417978065 in plain Text format TXT  |  1417978065 in PDF (Portable Document Format) PDF  |  1417978065 in an XML format XML  formats.

NPI Number : 1417978065 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417978065",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LODI SICK ROOM SUPPLY INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "340 S FAIRMONT AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LODI",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95240-3802",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "209-369-3641",
    "MailingAddressFaxNumber": "209-369-4618",
    "FirstLinePracticeLocationAddress": "340 S FAIRMONT AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LODI",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95240-3802",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "209-369-3641",
    "PracticeLocationAddressFaxNumber": "209-369-4618",
    "EnumerationDate": "07/21/2006",
    "LastUpdateDate": "09/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CANEPA",
    "AuthorizedOfficialFirstName": "JUDY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "209-369-3641",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": "ZZZ49755Z",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332BC3200X",
          "TaxonomyName": "Customized Equipment (DME)",
          "LicenseNumber": "ZZZ49755Z",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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