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General NPI Number Information
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NPI Number | 1962523902
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Entity Type | Organization
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Legal Business Name | MEDI-SOLUTION SUPPLIES
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8225 S NORMANDIE AVE SUITE A
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City | LOS ANGELES
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State | CA
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Zip | 90044-2335
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Country | US
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Telephone | 323-778-1673
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Fax |
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Provider Business Mailing Address
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Address Line | 8225 S NORMANDIE AVE SUITE A
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City | LOS ANGELES
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State | CA
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Zip | 90044-2335
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Country | US
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Telephone | 323-778-1673
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Fax |
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Authorized Official
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Title or Position | OPERATION MANAGER
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Name | MFON UMANAH
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Credential |
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Telephone | 323-778-1673
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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 | 46434
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License Number State | CA
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