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NPI 1467375667

NPI 1467375667 : SOM GOODS LLC : PHOENIX, AZ

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General NPI Number Information
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    NPI Number           |    1467375667
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    Entity Type          |    Organization 
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    Legal Business Name  |    SOM GOODS LLC 
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Dates
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    Enumeration Date     |    08/03/2026
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    Last Update Date     |    08/03/2026
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Provider Practice Location Address
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    Address Line         |    4539 N 22ND ST STE N 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85016-4639
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    Country              |    US
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    Telephone            |    346-771-1189
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    Fax                  |    346-771-1189
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Provider Business Mailing Address
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    Address Line         |    4539 N 22ND ST STE N 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85016-4639
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    Country              |    US
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    Telephone            |    346-771-1189
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    Fax                  |    346-771-1189
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Authorized Official
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    Title or Position    |    DME
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    Name                 |     SYED OMRAN  LNU 
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    Credential           |    
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    Telephone            |    346-771-1189
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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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