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General NPI Number Information
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NPI Number | 1831241330
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Entity Type | Organization
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Legal Business Name | RESEDA MEDICAL EQUIPMENT, INC.
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 750 N MOUNTAIN AVE SUITE D
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City | UPLAND
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State | CA
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Zip | 91786-4373
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Country | US
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Telephone | 909-982-7401
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Fax | 909-982-7397
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Provider Business Mailing Address
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Address Line | 750 N MOUNTAIN AVE SUITE D
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City | UPLAND
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State | CA
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Zip | 91786-4373
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Country | US
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Telephone | 909-982-7401
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Fax | 909-982-7397
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Authorized Official
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Title or Position | PRESIDENT
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Name | KARINE CHICHAGIAN
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Credential |
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Telephone | 909-982-7401
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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 | 45861
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License Number State | CA
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