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General NPI Number Information
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NPI Number | 1821046533
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Entity Type | Organization
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Legal Business Name | MANA & COMPANY
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4055 WILSHIRE BLVD SUITE 531
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City | LOS ANGELES
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State | CA
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Zip | 90010-3403
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Country | US
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Telephone | 213-387-0132
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Fax | 213-387-1526
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Provider Business Mailing Address
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Address Line | 4055 WILSHIRE BLVD SUITE 531
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City | LOS ANGELES
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State | CA
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Zip | 90010-3403
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Country | US
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Telephone | 213-387-0132
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Fax | 213-387-1526
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Authorized Official
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Title or Position | CEO
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Name | MR. MOSES UDO
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Credential |
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Telephone | 213-387-0132
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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 | 1211560001
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License Number State | CA
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