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General NPI Number Information
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NPI Number | 1841488988
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Entity Type | Organization
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Legal Business Name | MEDICAL PROVIDERS, INC.
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Dates
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Enumeration Date | 10/12/2007
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Last Update Date | 02/20/2017
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Provider Practice Location Address
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Address Line | 4214 GREEN RIVER RD STE 200
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City | CORONA
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State | CA
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Zip | 92880-1669
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Country | US
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Telephone | 866-535-2727
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Fax | 866-535-1787
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Provider Business Mailing Address
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Address Line | 4214 GREEN RIVER RD STE 200
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City | CORONA
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State | CA
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Zip | 92880-1669
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Country | US
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Telephone | 866-535-2727
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Fax | 866-535-1787
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Authorized Official
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Title or Position | PRESIDENT
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Name | SAMAN HEIDARI
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Credential |
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Telephone | 949-290-4156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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