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General NPI Number Information
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NPI Number | 1770072712
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Entity Type | Organization
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Legal Business Name | CONVERSIONS TECHNOLOGY LLC
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Dates
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Enumeration Date | 05/04/2018
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Last Update Date | 05/04/2018
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Provider Practice Location Address
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Address Line | 2962 SEABORG AVE
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City | VENTURA
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State | CA
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Zip | 93003-7643
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Country | US
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Telephone | 800-596-2037
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Fax |
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Provider Business Mailing Address
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Address Line | 2962 SEABORG AVE
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City | VENTURA
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State | CA
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Zip | 93003-7643
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Country | US
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Telephone | 800-596-2037
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. KEVIN G WILLIAMS
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Credential |
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Telephone | 805-320-4711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State | CA
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