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General NPI Number Information
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NPI Number | 1497648711
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Entity Type | Organization
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Legal Business Name | I.E. DME INC.
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 10280 INDIANA AVE
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City | RIVERSIDE
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State | CA
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Zip | 92503-5357
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Country | US
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Telephone | 951-343-0428
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Fax | 951-343-0438
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Provider Business Mailing Address
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Address Line | 10280 INDIANA AVE
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City | RIVERSIDE
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State | CA
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Zip | 92503-5357
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Country | US
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Telephone | 951-343-0428
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Fax | 951-343-0438
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DAVID W LEE
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Credential |
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Telephone | 562-254-7824
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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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