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General NPI Number Information
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NPI Number | 1699701748
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Entity Type | Organization
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Legal Business Name | BRANIK MEDICAL SUPPLY
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3453 RAMONA AVE SUITE 11
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City | SACRAMENTO
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State | CA
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Zip | 95826-3828
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Country | US
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Telephone | 916-737-0300
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Fax | 916-737-1923
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Provider Business Mailing Address
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Address Line | 3453 RAMONA AVE SUITE 11
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City | SACRAMENTO
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State | CA
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Zip | 95826-3828
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Country | US
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Telephone | 916-737-0300
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Fax | 916-737-1923
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Authorized Official
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Title or Position | OWNER
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Name | MR. OZOREMEZINEM T NWAOBI
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Credential |
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Telephone | 916-737-0300
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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 | 5656810001
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License Number State | CA
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