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General NPI Number Information
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NPI Number | 1841348216
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL HEALTH MEDIA SERVICES, INC
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 25244 REDLANDS BLVD
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City | LOMA LINDA
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State | CA
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Zip | 92354-1924
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Country | US
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Telephone | 909-796-6996
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Fax | 909-799-6620
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Provider Business Mailing Address
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Address Line | PO BOX 922 25244 REDLANDS BLVD
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City | LOMA LINDA
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State | CA
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Zip | 92354-0922
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Country | US
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Telephone | 909-796-6996
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Fax | 909-799-6620
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. HAROLD F GOOGE
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Credential |
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Telephone | 909-796-6996
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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 |
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License Number State |
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