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General NPI Number Information
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NPI Number | 1821220708
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Entity Type | Organization
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Legal Business Name | STEFANYS MEDICAL EQUIPMENT INC
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Dates
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Enumeration Date | 08/11/2009
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Last Update Date | 12/28/2009
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Provider Practice Location Address
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Address Line | 1555 N VERMONT AVE SUITE 201
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City | LOS ANGELES
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State | CA
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Zip | 90027-5330
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Country | US
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Telephone | 818-284-7507
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Fax |
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Provider Business Mailing Address
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Address Line | 1555 N VERMONT AVE SUITE 201
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City | LOS ANGELES
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State | CA
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Zip | 90027-5330
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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 | CEO
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Name | DINA BLANARI
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Credential |
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Telephone | 818-284-7507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 05D1102339
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License Number State | CA
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