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General NPI Number Information
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NPI Number | 1508269382
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Entity Type | Organization
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Legal Business Name | DWM VENTURES LLC
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Dates
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Enumeration Date | 10/07/2014
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Last Update Date | 01/12/2015
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Provider Practice Location Address
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Address Line | 550 PARK ST
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City | WEED
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State | CA
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Zip | 96094-2358
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Country | US
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Telephone | 530-408-3017
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Fax | 866-352-2442
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Provider Business Mailing Address
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Address Line | 550 PARK ST
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City | WEED
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State | CA
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Zip | 96094-2358
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Country | US
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Telephone | 530-408-3017
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Fax | 866-352-2442
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Authorized Official
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Title or Position | OPERATING MANAGER
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Name | MR. DOLPH MARSHALL
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Credential |
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Telephone | 415-734-8914
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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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