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General NPI Number Information
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NPI Number | 1528105749
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Entity Type | Organization
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Legal Business Name | SOUTHERN CALIFORNIA HOME MEDICAL, SERVICES, INC
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3330 E COLORADO BLVD
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City | PASADENA
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State | CA
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Zip | 91107-3861
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Country | US
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Telephone | 626-796-5979
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Fax |
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Provider Business Mailing Address
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Address Line | 3330 E COLORADO BLVD
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City | PASADENA
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State | CA
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Zip | 91107-3861
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Country | US
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Telephone | 626-796-5979
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES L. SHAW
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Credential |
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Telephone | 626-796-5979
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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 | 45022
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License Number State | CA
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