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General NPI Number Information
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NPI Number | 1710037494
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Entity Type | Organization
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Legal Business Name | E MEDICAL SUPPLIES INC
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 18835 N LOWER SACRAMENTO RD
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City | WOODBRIDGE
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State | CA
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Zip | 95258-9284
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Country | US
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Telephone | 209-366-1918
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Fax | 209-366-2140
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Provider Business Mailing Address
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Address Line | 18835 N LOWER SACRAMENTO RD
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City | WOODBRIDGE
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State | CA
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Zip | 95258-9284
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Country | US
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Telephone | 209-366-1918
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Fax | 209-366-2140
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. DORIS JEAN FORNFEIST
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Credential |
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Telephone | 209-366-1918
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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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