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General NPI Number Information
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NPI Number | 1780731927
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Entity Type | Organization
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Legal Business Name | L AND P MEDICAL SUPPLY, INC.
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 11/11/2008
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Provider Practice Location Address
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Address Line | 1828 S WESTERN AVE SUITE 12
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City | LOS ANGELES
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State | CA
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Zip | 90006-5808
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Country | US
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Telephone | 323-766-2955
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Fax | 323-766-2951
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Provider Business Mailing Address
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Address Line | 335 E ALBERTONI ST 200-105
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City | CARSON
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State | CA
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Zip | 90746-1425
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Country | US
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Telephone | 323-766-2955
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Fax | 323-766-2951
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Authorized Official
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Title or Position | PRESIDENT
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Name | LYNNE M. LANGRUM
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Credential |
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Telephone | 323-766-2955
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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 | 45845
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License Number State | CA
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