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General NPI Number Information
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NPI Number | 1699482687
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Entity Type | Organization
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Legal Business Name | PETRUS CORP.
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Dates
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Enumeration Date | 10/31/2022
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Last Update Date | 10/31/2022
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Provider Practice Location Address
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Address Line | 21350 LASSEN ST UNIT A6
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City | CHATSWORTH
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State | CA
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Zip | 91311-4254
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Country | US
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Telephone | 818-641-1641
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Fax | 818-474-4517
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Provider Business Mailing Address
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Address Line | 7927 LENA AVE
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City | WEST HILLS
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State | CA
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Zip | 91304-3623
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Country | US
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Telephone | 818-641-0352
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Fax | 818-474-4517
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Authorized Official
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Title or Position | OWNER
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Name | MR. PETER PAJARITO
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Credential |
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Telephone | 818-641-1641
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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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