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General NPI Number Information
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NPI Number | 1962882530
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Entity Type | Organization
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Legal Business Name | HAPPY LIFE 88 MEDICAL SUPPLY LLC
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Dates
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Enumeration Date | 06/08/2015
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Last Update Date | 06/08/2015
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Provider Practice Location Address
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Address Line | 420 S 1ST ST
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City | SAN JOSE
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State | CA
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Zip | 95113-2815
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Country | US
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Telephone | 408-573-7200
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Fax | 408-573-7222
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Provider Business Mailing Address
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Address Line | 420 S 1ST ST
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City | SAN JOSE
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State | CA
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Zip | 95113-2815
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Country | US
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Telephone | 408-573-7200
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Fax | 408-573-7222
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Authorized Official
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Title or Position | MEMBER
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Name | MS. EVANGELINE CHAVAN
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Credential |
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Telephone | 408-603-3817
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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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