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General NPI Number Information
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NPI Number | 1811907850
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Entity Type | Organization
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Legal Business Name | COMPLETE CARE MEDICAL SUPPLY INC.
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 01/03/2008
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Provider Practice Location Address
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Address Line | 16756 VENTURA BLVD
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City | ENCINO
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State | CA
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Zip | 91436-1702
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Country | US
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Telephone | 818-986-9833
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Fax | 818-986-9834
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Provider Business Mailing Address
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Address Line | 16756 VENTURA BLVD
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City | ENCINO
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State | CA
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Zip | 91436-1702
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Country | US
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Telephone | 818-986-9833
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Fax | 818-986-9834
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Authorized Official
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Title or Position | MANAGER
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Name | FARAMARZ SAGHIZADEH
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Credential |
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Telephone | 818-986-9833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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