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General NPI Number Information
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NPI Number | 1831052463
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Entity Type | Organization
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Legal Business Name | HOWARDS MEDICAL INLAND EMPIRE LLC
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1308 S PIONEER WAY
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City | MOSES LAKE
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State | WA
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Zip | 98837-2410
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Country | US
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Telephone | 509-764-6670
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Fax | 509-494-8888
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Provider Business Mailing Address
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Address Line | 1101 N 16TH AVE STE 104
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City | YAKIMA
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State | WA
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Zip | 98902-1300
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Country | US
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Telephone | 509-834-7411
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Fax | 509-494-8888
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Authorized Official
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Title or Position | OWNER
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Name | ERIK DAVID MICKELSON
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Credential |
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Telephone | 509-834-7411
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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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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #3
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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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