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General NPI Number Information
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NPI Number | 1962687970
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Entity Type | Organization
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Legal Business Name | PACIFIC BIOMEDICAL DME LLC
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Dates
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Enumeration Date | 01/09/2008
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Last Update Date | 06/22/2009
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Provider Practice Location Address
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Address Line | 3790 VIA DE LA VALLE SUITE 108
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City | DEL MAR
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State | CA
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Zip | 92014-4247
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Country | US
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Telephone | 760-402-5807
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Fax |
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Provider Business Mailing Address
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Address Line | 3790 VIA DE LA VALLE SUITE 108
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City | DEL MAR
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State | CA
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Zip | 92014-4247
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Country | US
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Telephone | 760-402-5807
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | STEVE A WILLIAMS
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Credential | BS
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Telephone | 760-561-9648
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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 |
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License Number State |
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