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General NPI Number Information
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NPI Number | 1770593881
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Entity Type | Organization
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Legal Business Name | REDOX MEDICAL SERVICES
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 03/16/2011
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Provider Practice Location Address
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Address Line | 20997 FOOTHILL BLVD
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City | HAYWARD
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State | CA
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Zip | 94541-1511
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Country | US
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Telephone | 510-886-8708
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Fax | 510-886-8708
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Provider Business Mailing Address
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Address Line | 20997 FOOTHILL BLVD
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City | HAYWARD
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State | CA
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Zip | 94541-1511
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Country | US
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Telephone | 510-886-8708
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Fax | 510-886-8708
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Authorized Official
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Title or Position | C.O.O.
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Name | MR. ALVIN R. SARTIAGUDA
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Credential | RESPIRATORY THERAPIS
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Telephone | 510-333-5139
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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 | 100693
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License Number State | CA
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