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General NPI Number Information
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NPI Number | 1881011708
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Entity Type | Organization
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Legal Business Name | HUNTINGTON BEACH MEDICAL INC
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Dates
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Enumeration Date | 03/28/2014
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Last Update Date | 03/28/2014
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Provider Practice Location Address
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Address Line | 5702 BOLSA AVE
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92649-1128
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Country | US
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Telephone | 866-697-7167
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Fax | 714-766-7241
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Provider Business Mailing Address
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Address Line | PO BOX 3119
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92605-3119
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Country | US
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Telephone | 866-697-7167
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Fax | 714-766-7241
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Authorized Official
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Title or Position | CFO
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Name | KIMBERLY ZINK
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Credential |
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Telephone | 714-500-4015
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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 | 3592439
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License Number State | CA
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