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General NPI Number Information
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NPI Number | 1982654778
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Entity Type | Organization
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Legal Business Name | BIOCARE MEDICAL EQUIPMENT INC
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 01/11/2011
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Provider Practice Location Address
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Address Line | 10134 6TH ST SUITE G
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-5855
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Country | US
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Telephone | 909-466-7666
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Fax | 909-658-7503
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Provider Business Mailing Address
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Address Line | 10134 6TH ST SUITE G
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-5855
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Country | US
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Telephone | 909-466-7666
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Fax | 909-658-7503
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | MRS. MARILYN CONCEPCION LIZARDO
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Credential |
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Telephone | 909-466-7666
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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 | HMDR103277
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License Number State | CA
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