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General NPI Number Information
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NPI Number | 1730492240
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Entity Type | Organization
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Legal Business Name | PRONTO MEDICAL SUPPLY INC
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Dates
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Enumeration Date | 07/26/2010
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Last Update Date | 03/21/2011
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Provider Practice Location Address
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Address Line | 1117 N HOLLYWOOD WAY
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City | BURBANK
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State | CA
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Zip | 91505-2528
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Country | US
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Telephone | 818-848-8060
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Fax | 818-848-8262
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Provider Business Mailing Address
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Address Line | 1117 N HOLLYWOOD WAY
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City | BURBANK
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State | CA
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Zip | 91505-2528
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Country | US
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Telephone | 818-848-8060
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Fax | 818-848-8262
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Authorized Official
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Title or Position | PRESIDENT
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Name | GEORGY GIGILASHVILI
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Credential |
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Telephone | 818-848-8060
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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 | 0002513671-0001-2
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License Number State | CA
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