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General NPI Number Information
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NPI Number | 1952157513
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Entity Type | Organization
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Legal Business Name | SPIRE MED DME, INC.
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Dates
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Enumeration Date | 04/25/2024
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 2133 LAS POSITAS CT STE H
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City | LIVERMORE
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State | CA
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Zip | 94551-9774
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Country | US
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Telephone | 925-381-5855
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Fax |
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Provider Business Mailing Address
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Address Line | 2133 LAS POSITAS CT STE H
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City | LIVERMORE
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State | CA
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Zip | 94551-9774
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | ZAKIA MAIWANDI
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Credential |
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Telephone | 925-381-5855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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