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General NPI Number Information
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NPI Number | 1881136034
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Entity Type | Organization
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Legal Business Name | MEDITOPIA TECHNOLOGIES
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Dates
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Enumeration Date | 11/04/2016
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Last Update Date | 10/28/2019
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Provider Practice Location Address
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Address Line | 25835 NARBONNE AVE STE 205
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City | LOMITA
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State | CA
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Zip | 90717-7204
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Country | US
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Telephone | 833-378-1120
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Fax | 424-378-1120
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Provider Business Mailing Address
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Address Line | 6400 E WASHINGTON BLVD # 124
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City | COMMERCE
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State | CA
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Zip | 90040-1820
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Country | US
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Telephone | 424-378-1120
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Fax | 424-245-7890
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | HAROLD MASON
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Credential |
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Telephone | 310-650-1491
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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 | 322B00000X
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License Number State | CA
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