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General NPI Number Information
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NPI Number | 1588227870
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Entity Type | Organization
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Legal Business Name | EZ COMFORT MEDICAL SUPPLY
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Dates
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Enumeration Date | 04/22/2019
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Last Update Date | 04/22/2019
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Provider Practice Location Address
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Address Line | 12054 VANOWEN ST
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91605-5961
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Country | US
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Telephone | 818-505-3826
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Fax | 818-505-3810
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Provider Business Mailing Address
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Address Line | 12054 VANOWEN ST
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91605-5961
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Country | US
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Telephone | 818-505-3826
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Fax | 818-505-3810
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Authorized Official
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Title or Position | CEO
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Name | MR. HARUTYUN SARKIS NADRIAN
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Credential |
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Telephone | 818-281-0009
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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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