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General NPI Number Information
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NPI Number | 1881846053
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Entity Type | Organization
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Legal Business Name | TEL MEDICAL SUPPLY
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Dates
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Enumeration Date | 10/19/2008
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Last Update Date | 07/08/2010
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Provider Practice Location Address
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Address Line | 159 E HIGHLAND AVE
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City | SAN BERNARDINO
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State | CA
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Zip | 92404-3659
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Country | US
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Telephone | 909-886-1400
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Fax | 888-328-6306
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Provider Business Mailing Address
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Address Line | 159 E HIGHLAND AVE
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City | SAN BERNARDINO
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State | CA
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Zip | 92404-3659
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Country | US
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Telephone | 909-886-1400
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Fax | 888-328-6306
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Authorized Official
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Title or Position | CO-OWNER
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Name | KENNETH EKE
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Credential |
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Telephone | 909-886-1400
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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 |
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License Number State |
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