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General NPI Number Information
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NPI Number | 1982232054
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Entity Type | Organization
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Legal Business Name | K4 INNOVATIONS LLC
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Dates
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Enumeration Date | 04/01/2020
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Last Update Date | 04/01/2020
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Provider Practice Location Address
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Address Line | 4034 CALLE LISA
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City | SAN CLEMENTE
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State | CA
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Zip | 92672-4509
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Country | US
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Telephone | 949-290-9950
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Fax |
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Provider Business Mailing Address
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Address Line | 4034 CALLE LISA
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City | SAN CLEMENTE
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State | CA
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Zip | 92672-4509
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Country | US
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Telephone | 949-290-9950
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | WARREN GEORGE KRAMER IV
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Credential |
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Telephone | 949-290-9950
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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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