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General NPI Number Information
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NPI Number | 1497089023
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Entity Type | Organization
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Legal Business Name | OK MEDICAL EQUIPMENTS AND SUPPLY, LLC
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Dates
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Enumeration Date | 09/30/2009
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Last Update Date | 11/22/2010
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Provider Practice Location Address
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Address Line | 1626 CENTINELA AVE SUITE 6
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City | INGLEWOOD
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State | CA
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Zip | 90302-1047
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Country | US
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Telephone | 323-747-5307
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Fax |
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Provider Business Mailing Address
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Address Line | 1626 CENTINELA AVE SUITE 6
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City | INGLEWOOD
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State | CA
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Zip | 90302-1047
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Country | US
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Telephone | 323-743-6026
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. OLUFEMI EMMANUEL KILANKO
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Credential | CEO
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Telephone | 323-743-6026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State | CA
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Taxonomy #2
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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 | CA
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