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General NPI Number Information
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NPI Number | 1518000512
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Entity Type | Organization
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Legal Business Name | TERRY'S EASY CHAIR
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 799 W MARKLAND DR
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City | MONTEREY PARK
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State | CA
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Zip | 91754-6820
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Country | US
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Telephone | 626-744-9598
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Fax | 323-888-1578
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Provider Business Mailing Address
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Address Line | 799 W MARKLAND DR
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City | MONTEREY PARK
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State | CA
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Zip | 91754-6820
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Country | US
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Telephone | 626-744-9598
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Fax | 323-888-1578
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Authorized Official
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Title or Position | OWNER
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Name | MR. TERRY GENE HUNSUCKER
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Credential |
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Telephone | 626-744-9598
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | CA
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