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General NPI Number Information
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NPI Number | 1861673857
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Entity Type | Organization
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Legal Business Name | RUZER MEDICAL SERVICES, INC.
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Dates
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Enumeration Date | 11/18/2007
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Last Update Date | 09/24/2008
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Provider Practice Location Address
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Address Line | 16300 CRENSHAW BLVD SUITE 204
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City | TORRANCE
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State | CA
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Zip | 90504-1439
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Country | US
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Telephone | 310-354-0018
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Fax | 310-354-0019
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Provider Business Mailing Address
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Address Line | 16300 CRENSHAW BLVD SUITE 204
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City | TORRANCE
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State | CA
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Zip | 90504-1439
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Country | US
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Telephone | 310-354-0018
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Fax | 310-354-0019
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Authorized Official
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Title or Position | PRESIDENT
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Name | EBENEZER O BANKOLE
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Credential |
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Telephone | 310-354-0018
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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 | 48139
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License Number State | CA
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