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General NPI Number Information
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NPI Number | 1538789599
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Entity Type | Organization
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Legal Business Name | FEM PATCH CO
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Dates
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Enumeration Date | 04/20/2020
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Last Update Date | 04/20/2020
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Provider Practice Location Address
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Address Line | 1700 4TH ST STE 214
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2330
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Country | US
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Telephone | 925-577-6917
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Fax |
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Provider Business Mailing Address
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Address Line | 106 BEACHCOMBER DR
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City | PISMO BEACH
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State | CA
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Zip | 93449-1612
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Country | US
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Telephone | 925-577-6917
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | SOHILA ZADRAN
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Credential |
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Telephone | 925-577-6917
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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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