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General NPI Number Information
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NPI Number | 1740860212
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Entity Type | Organization
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Legal Business Name | FIREWATCH SOLUTIONS INC.
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Dates
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Enumeration Date | 04/09/2021
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Last Update Date | 04/09/2021
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Provider Practice Location Address
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Address Line | 127 W ESCALONES
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City | SAN CLEMENTE
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State | CA
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Zip | 92672-4607
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Country | US
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Telephone | 949-438-0798
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Fax | 949-449-8694
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Provider Business Mailing Address
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Address Line | 555 N EL CAMINO REAL STE A345
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City | SAN CLEMENTE
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State | CA
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Zip | 92672-6740
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Country | US
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Telephone | 949-438-0798
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Fax |
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Authorized Official
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Title or Position | CE)
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Name | BRIAN VON KRAUS
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Credential |
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Telephone | 949-438-0798
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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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