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General NPI Number Information
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NPI Number | 1497704548
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Entity Type | Organization
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Legal Business Name | HEALTH-O-MED, INC.
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 07/29/2008
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Provider Practice Location Address
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Address Line | 7606 SANTA MONICA BLVD
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90046-6409
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Country | US
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Telephone | 323-654-6890
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Fax | 323-654-8041
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Provider Business Mailing Address
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Address Line | 7606 SANTA MONICA BLVD
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90046-6409
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Country | US
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Telephone | 323-654-6890
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Fax | 323-654-8041
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. GEORGIY SARKISOV
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Credential |
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Telephone | 323-654-6890
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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 | 100943
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 17276
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 17276
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 17276
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License Number State | CA
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