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General NPI Number Information
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NPI Number | 1528338647
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Entity Type | Organization
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Legal Business Name | OCCUPATIONAL TESTING & EVALUATION
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Dates
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Enumeration Date | 01/05/2012
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Last Update Date | 01/05/2012
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Provider Practice Location Address
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Address Line | 7950 DUNBROOK RD
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City | SAN DIEGO
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State | CA
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Zip | 92126-4371
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Country | US
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Telephone | 800-210-8880
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Fax |
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Provider Business Mailing Address
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Address Line | 7950 DUNBROOK RD
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City | SAN DIEGO
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State | CA
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Zip | 92126-4371
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Country | US
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Telephone | 800-210-8880
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD HARRIS
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Credential |
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Telephone | 800-210-8880
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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 | 332B00000
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License Number State | CO
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