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General NPI Number Information
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NPI Number | 1912077306
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Entity Type | Organization
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Legal Business Name | ALLCARE MEDICAL WEST
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10117 MCVINE AVE
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City | SUNLAND
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State | CA
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Zip | 91040-3360
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Country | US
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Telephone | 800-453-9686
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Fax | 818-353-8272
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Provider Business Mailing Address
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Address Line | PO BOX 4471
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City | SUNLAND
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State | CA
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Zip | 91041-4471
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Country | US
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Telephone | 800-453-9686
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Fax | 818-353-8272
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Authorized Official
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Title or Position | PARTNER
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Name | MR. JOHN RAY HOLLAND
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Credential |
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Telephone | 800-453-9686
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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 | 0002039740-0001-4
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License Number State | CA
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