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General NPI Number Information
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NPI Number | 1962679993
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Entity Type | Organization
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Legal Business Name | NANDO MEDICAL EQUIPMENT & SUPPLIES, INC.
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Dates
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Enumeration Date | 05/09/2008
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Last Update Date | 10/25/2008
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Provider Practice Location Address
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Address Line | 3940 MARINE AVE SUITE C
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City | LAWNDALE
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State | CA
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Zip | 90260-2333
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Country | US
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Telephone | 310-679-0118
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Fax | 310-679-0822
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Provider Business Mailing Address
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Address Line | 3940 MARINE AVE SUITE C
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City | LAWNDALE
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State | CA
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Zip | 90260-2333
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Country | US
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Telephone | 310-679-0118
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Fax | 310-679-0822
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | CHRISTAIN N ANAKWENZE
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Credential |
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Telephone | 310-679-0118
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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 | 49272
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License Number State | CA
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