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General NPI Number Information
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NPI Number | 1881530814
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Entity Type | Organization
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Legal Business Name | CONCORD MEDICAL SUPPLY LLC
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Dates
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Enumeration Date | 04/23/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 2255 MORELLO AVE STE 103
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City | PLEASANT HILL
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State | CA
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Zip | 94523-1881
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Country | US
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Telephone | 925-326-9991
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Fax |
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Provider Business Mailing Address
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Address Line | 2255 MORELLO AVE STE 103
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City | PLEASANT HILL
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State | CA
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Zip | 94523-1881
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Country | US
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Telephone | 925-326-9991
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | YASMEEN ALBERT
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Credential |
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Telephone | 925-326-9991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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