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General NPI Number Information
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NPI Number | 1619176625
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Entity Type | Organization
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Legal Business Name | WESTERN RESIDENT TRAINING AND MANAGEMENT CORPORATION
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 22750 HAWTHORNE BLVD SUITE #220
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City | TORRANCE
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State | CA
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Zip | 90505-3664
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Country | US
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Telephone | 310-378-5424
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Fax | 310-378-3824
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Provider Business Mailing Address
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Address Line | 22750 HAWTHORNE BLVD SUITE #220
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City | TORRANCE
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State | CA
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Zip | 90505-3664
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Country | US
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Telephone | 310-378-5424
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Fax | 310-378-3824
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Authorized Official
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Title or Position | CEO / PRESIDENT
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Name | DR. DENNIS ROSS GUMM
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Credential |
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Telephone | 310-378-5424
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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 | E1983
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License Number State | CA
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