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General NPI Number Information
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NPI Number | 1982772034
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Entity Type | Organization
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Legal Business Name | PRO-TECH MEDICAL EQUIPMENT INC.
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 03/02/2010
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Provider Practice Location Address
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Address Line | 42210 ROICK DR SUITE 12
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City | TEMECULA
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State | CA
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Zip | 92590-5523
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Country | US
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Telephone | 951-296-6600
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Fax | 951-296-6609
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Provider Business Mailing Address
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Address Line | 42210 ROICK DR SUITE 12
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City | TEMECULA
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State | CA
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Zip | 92590-5523
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Country | US
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Telephone | 951-296-6600
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Fax | 951-296-6609
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DENNIS M. D'ANTIN
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Credential |
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Telephone | 951-296-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Legacy Identifiers
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Identifier #1
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Identifier Code | DME00539F
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Identifier Type | MEDICAID
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Identifier State | CA
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Identifier Issuer |
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Proprietary Identifiers Ever Reported
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Identifier #1
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Identifier Code | DME00539F
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Identifier Type | MEDICAID
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Identifier State | CA
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Identifier Issuer |
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