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General NPI Number Information
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NPI Number | 1942403068
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Entity Type | Organization
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Legal Business Name | DEBS MEDICAL DISTRIBUTORS INC
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 08/28/2008
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Provider Practice Location Address
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Address Line | 13615 VICTORY BLVD STE 136
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City | VAN NUYS
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State | CA
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Zip | 91401-1737
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Country | US
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Telephone | 818-376-1243
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Fax |
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Provider Business Mailing Address
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Address Line | 13615 VICTORY BLVD STE 136
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City | VAN NUYS
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State | CA
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Zip | 91401-1737
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Country | US
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Telephone | 818-376-1243
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Fax |
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Authorized Official
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Title or Position | OPERATION DIRECTOR
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Name | PATRICK SOGBEIN
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Credential |
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Telephone | 818-376-1243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 47458
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License Number State | CA
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