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General NPI Number Information
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NPI Number | 1669861498
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Entity Type | Organization
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Legal Business Name | NATIONWIDE MEDICAL, INC
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Dates
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Enumeration Date | 01/16/2015
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Last Update Date | 09/23/2015
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Provider Practice Location Address
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Address Line | 12403 WETMORE RD SUITE 106
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City | SAN ANTONIO
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State | TX
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Zip | 78247-3615
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Country | US
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Telephone | 818-338-3500
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Fax | 818-338-3501
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Provider Business Mailing Address
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Address Line | 29901 AGOURA RD
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City | AGOURA HILLS
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State | CA
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Zip | 91301-2513
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Country | US
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Telephone | 818-338-3500
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Fax | 818-338-3501
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Authorized Official
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Title or Position | CHAIRMAN/MAJORITY OWNER
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Name | HOWARD SIEGEL
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Credential |
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Telephone | 818-338-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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