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General NPI Number Information
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NPI Number | 1629107313
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Entity Type | Organization
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Legal Business Name | D&S MEDICAL SUPPLIES CO.
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 1745 W LA PALMA AVE
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City | ANAHEIM
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State | CA
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Zip | 92801-3529
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Country | US
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Telephone | 714-535-0601
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Fax | 714-535-6801
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Provider Business Mailing Address
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Address Line | 1745 W LA PALMA AVE
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City | ANAHEIM
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State | CA
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Zip | 92801-3529
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Country | US
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Telephone | 714-535-0601
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Fax | 714-535-6801
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Authorized Official
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Title or Position | DIRECTOR
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Name | SOPHIA SYVORAVONG
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Credential |
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Telephone | 714-535-0601
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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 | 46458
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License Number State | CA
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