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NPI 1962782771

NPI 1962782771 : HASSIM MEDICAL EQUIPMENT & SUPPLIES, INC. : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1962782771
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    Entity Type          |    Organization 
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    Legal Business Name  |    HASSIM MEDICAL EQUIPMENT & SUPPLIES, INC. 
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Dates
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    Enumeration Date     |    08/24/2011
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    Last Update Date     |    08/24/2011
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Provider Practice Location Address
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    Address Line         |    8945 S WESTERN AVE 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90047-3549
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    Country              |    US
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    Telephone            |    323-750-1121
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    Fax                  |    323-750-1122
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Provider Business Mailing Address
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    Address Line         |    8945 S WESTERN AVE 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90047-3549
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    Country              |    US
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    Telephone            |    323-750-1121
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    Fax                  |    323-750-1122
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |    MR. MARVIN  HASSELL 
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    Credential           |    
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    Telephone            |    323-750-1121
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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       |    DHS PENDING
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    License Number State |    CA
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