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General NPI Number Information
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NPI Number | 1447506910
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Entity Type | Organization
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Legal Business Name | SIMPLE WISHES LLC
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Dates
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Enumeration Date | 08/02/2012
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Last Update Date | 08/02/2012
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Provider Practice Location Address
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Address Line | 8890 CAL CENTER DR
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City | SACRAMENTO
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State | CA
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Zip | 95826-3200
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Country | US
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Telephone | 203-570-3058
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Fax |
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Provider Business Mailing Address
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Address Line | 8890 CAL CENTER DR
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City | SACRAMENTO
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State | CA
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Zip | 95826-3200
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Country | US
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Telephone | 203-570-3058
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Fax |
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Authorized Official
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Title or Position | CO FOUNDER
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Name | MRS. DEBRA ANNA ABBASZADEH
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Credential |
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Telephone | 203-570-3058
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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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