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General NPI Number Information
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NPI Number | 1700089745
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Entity Type | Organization
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Legal Business Name | PERPETUAL HOME MEDICAL EQUIPMENT & SUPPLIES, INC.
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 03/10/2008
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Provider Practice Location Address
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Address Line | 3018 BEVERLY BLVD UNIT C
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City | LOS ANGELES
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State | CA
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Zip | 90057-1027
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Country | US
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Telephone | 213-388-9560
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Fax | 213-388-9561
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Provider Business Mailing Address
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Address Line | 3018 BEVERLY BLVD UNIT C
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City | LOS ANGELES
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State | CA
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Zip | 90057-1027
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Country | US
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Telephone | 213-388-9560
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Fax | 213-388-9561
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAIME CASTILLO SISON
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Credential |
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Telephone | 213-388-9560
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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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