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NPI 1740477983

NPI 1740477983 : ARLETA MEDICAL EQUIPMENT, INC. : ARLETA, CA

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General NPI Number Information
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    NPI Number           |    1740477983
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARLETA MEDICAL EQUIPMENT, INC. 
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Dates
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    Enumeration Date     |    10/02/2007
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    Last Update Date     |    01/07/2009
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Provider Practice Location Address
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    Address Line         |    14015 VAN NUYS BLVD SUITE B
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    City                 |    ARLETA
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    State                |    CA
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    Zip                  |    91331-4518
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    Country              |    US
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    Telephone            |    818-890-2400
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    Fax                  |    818-890-0900
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Provider Business Mailing Address
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    Address Line         |    14015 VAN NUYS BLVD SUITE B
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    City                 |    ARLETA
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    State                |    CA
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    Zip                  |    91331-4518
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    Country              |    US
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    Telephone            |    818-890-2400
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    Fax                  |    818-890-0900
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. ARMEN  SHAGOYAN 
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    Credential           |    
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    Telephone            |    818-890-2400
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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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