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General NPI Number Information
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NPI Number | 1932330537
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Entity Type | Organization
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Legal Business Name | REEDLEY MEDICAL SUPPLY, INC.
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Dates
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Enumeration Date | 07/30/2009
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Last Update Date | 01/15/2010
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Provider Practice Location Address
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Address Line | 1205 11TH ST
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City | REEDLEY
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State | CA
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Zip | 93654-2924
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Country | US
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Telephone | 559-638-8004
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Fax | 559-637-1979
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Provider Business Mailing Address
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Address Line | 1205 11TH ST
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City | REEDLEY
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State | CA
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Zip | 93654-2924
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Country | US
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Telephone | 559-638-8004
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Fax | 559-637-1979
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | MRS. RHODA ENNS
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Credential |
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Telephone | 559-638-8004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #3
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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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