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General NPI Number Information
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NPI Number | 1811778087
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Entity Type | Organization
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Legal Business Name | STARMED MEDICAL SUPPLY INC
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Dates
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Enumeration Date | 10/12/2023
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 4045 BONITA RD STE 208
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City | BONITA
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State | CA
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Zip | 91902-1336
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Country | US
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Telephone | 619-836-0091
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Fax |
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Provider Business Mailing Address
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Address Line | 3148 MIDWAY DR STE 201
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City | SAN DIEGO
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State | CA
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Zip | 92110-4539
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | TERESA DE MONSERRAT MARTIN
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Credential |
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Telephone | 619-710-6774
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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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