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General NPI Number Information
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NPI Number | 1922451004
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Entity Type | Organization
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Legal Business Name | WEST COAST MEDICAL, INC
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Dates
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Enumeration Date | 07/13/2016
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Last Update Date | 09/07/2016
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Provider Practice Location Address
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Address Line | 803 CAMARILLO SPRINGS RD SUITE C
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City | CAMARILLO
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State | CA
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Zip | 93012-9459
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Country | US
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Telephone | 805-465-8200
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Fax | 805-426-8564
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Provider Business Mailing Address
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Address Line | PO BOX 365
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City | NEWBURY PARK
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State | CA
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Zip | 91319-0365
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Country | US
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Telephone | 805-465-8221
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Fax | 805-426-8564
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Authorized Official
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Title or Position | PRESIDENT/SECRETARY
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Name | THEODORE NORDBLUM
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Credential |
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Telephone | 805-465-8232
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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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