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General NPI Number Information
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NPI Number | 1497555379
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Entity Type | Organization
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Legal Business Name | 180 HEALTH SERVICES LLC
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 4 CORPORATE PLAZA DR STE 150
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-7936
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Country | US
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Telephone | 310-779-7416
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Fax |
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Provider Business Mailing Address
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Address Line | 4 CORPORATE PLAZA DR STE 150
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-7936
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Country | US
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Telephone | 855-339-1107
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | DAYLE GRAEME BURTON
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Credential |
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Telephone | 855-339-1107
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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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