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General NPI Number Information
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NPI Number | 1508094301
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Entity Type | Organization
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Legal Business Name | ALL UNIVERSAL MEDICAL SUPPLIES, INC.
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Dates
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Enumeration Date | 06/30/2009
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Last Update Date | 12/06/2010
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Provider Practice Location Address
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Address Line | 1617 UNIVERSITY AVE # B
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City | RIVERSIDE
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State | CA
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Zip | 92507-4458
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Country | US
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Telephone | 951-684-6161
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Fax | 951-684-6262
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Provider Business Mailing Address
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Address Line | 1617 UNIVERSITY AVE # B
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City | RIVERSIDE
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State | CA
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Zip | 92507-4458
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Country | US
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Telephone | 951-684-6161
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Fax | 951-684-6262
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Authorized Official
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Title or Position | OWNER
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Name | MR. IRDIA RAJ DESAI
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Credential |
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Telephone | 951-684-6161
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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 | BL00136169
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License Number State | CA
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