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General NPI Number Information
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NPI Number | 1609907666
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Entity Type | Organization
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Legal Business Name | HILIFE HEALTHCARE SUPPLIES
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | 1703 E COMPTON BLVD UNITE B
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City | COMPTON
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State | CA
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Zip | 90221-3408
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Country | US
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Telephone | 310-537-7755
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Fax | 310-537-7766
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Provider Business Mailing Address
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Address Line | 1703 E COMPTON BLVD UNITE B
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City | COMPTON
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State | CA
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Zip | 90221-3408
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Country | US
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Telephone | 310-537-7755
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Fax | 310-537-7766
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Authorized Official
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Title or Position | OWNER
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Name | ANTHONY OFOHA
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Credential |
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Telephone | 310-537-7755
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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 | 46459
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License Number State | CA
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