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General NPI Number Information
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NPI Number | 1467097832
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Entity Type | Organization
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Legal Business Name | LUDWIG MEDICAL CORP
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Dates
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Enumeration Date | 11/09/2019
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Last Update Date | 11/09/2019
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Provider Practice Location Address
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Address Line | 1617 WESTCLIFF DR STE 203
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-5526
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Country | US
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Telephone | 310-633-4606
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Fax | 661-310-3848
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Provider Business Mailing Address
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Address Line | 3334 E COAST HWY STE 5193334
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City | CORONA DEL MAR
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State | CA
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Zip | 92625-2328
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Country | US
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Telephone | 949-514-7456
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Fax | 661-310-3848
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Authorized Official
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Title or Position | OWNER
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Name | FANNY ECKERMANN
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Credential |
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Telephone | 310-633-4606
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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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