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General NPI Number Information
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NPI Number | 1730362302
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Entity Type | Organization
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Legal Business Name | MED SYSTEMS
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Dates
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Enumeration Date | 12/06/2007
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Last Update Date | 12/06/2007
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Provider Practice Location Address
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Address Line | 2631 ARIANE DR
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City | SAN DIEGO
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State | CA
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Zip | 92117-3422
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Country | US
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Telephone | 800-345-9061
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Fax | 858-483-9827
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Provider Business Mailing Address
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Address Line | 2631 ARIANE DR
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City | SAN DIEGO
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State | CA
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Zip | 92117-3422
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Country | US
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Telephone | 800-345-9061
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Fax | 858-483-9827
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Authorized Official
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Title or Position | SALES MANAGER
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Name | MS. SHARON JOHNSON
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Credential |
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Telephone | 800-345-9061
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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 | 63491
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License Number State | CA
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