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General NPI Number Information
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NPI Number | 1669515235
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Entity Type | Organization
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Legal Business Name | PHARMEX, INC.
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 12/11/2007
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Provider Practice Location Address
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Address Line | 1625 TULLY RD SUITE C
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City | SAN JOSE
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State | CA
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Zip | 95122-2541
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Country | US
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Telephone | 408-729-1118
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Fax | 408-729-1119
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Provider Business Mailing Address
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Address Line | 1625 TULLY RD SUITE C
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City | SAN JOSE
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State | CA
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Zip | 95122-2541
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Country | US
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Telephone | 408-729-1118
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Fax | 408-729-1119
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Authorized Official
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Title or Position | PRESIDENT
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Name | MOHAMED MARLEEN
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Credential |
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Telephone | 408-729-1118
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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 | 20152904
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 47387
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License Number State | CA
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