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General NPI Number Information
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NPI Number | 1689434060
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Entity Type | Organization
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Legal Business Name | LA DME MEDICAL
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Dates
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Enumeration Date | 03/21/2024
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Last Update Date | 03/21/2024
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Provider Practice Location Address
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Address Line | 38733 9TH ST E STE Q
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City | PALMDALE
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State | CA
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Zip | 93550-2910
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Country | US
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Telephone | 661-495-5546
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Fax |
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Provider Business Mailing Address
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Address Line | 4654 E AVENUE S # 173
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City | PALMDALE
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State | CA
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Zip | 93552-4454
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Country | US
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Telephone | 661-825-7473
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | WARREN BATISTE
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Credential |
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Telephone | 661-495-5546
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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 |
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License Number State |
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