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General NPI Number Information
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NPI Number | 1982891743
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Entity Type | Organization
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Legal Business Name | ENTERAL PRODUCTS, LLC
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 02/04/2015
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Provider Practice Location Address
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Address Line | 11333 GREENSTONE AVE A
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City | SANTA FE SPRINGS
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State | CA
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Zip | 90670-4618
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Country | US
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Telephone | 562-447-2550
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Fax | 562-968-5315
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Provider Business Mailing Address
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Address Line | 11333 GREENSTONE AVE A
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City | SANTA FE SPRINGS
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State | CA
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Zip | 90670-4618
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Country | US
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Telephone | 562-447-2550
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Fax | 562-968-5315
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | YISROEL RECHNITZ
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Credential |
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Telephone | 562-447-2550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 1166
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | W002244
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | MG01187
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | CSW.0002888
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | DME18253
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License Number State | ID
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Taxonomy #6
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 203001226
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 69000639A
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License Number State | IN
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Taxonomy #8
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 16-00392
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License Number State | KS
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Taxonomy #9
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | HME00304
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License Number State | KY
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Taxonomy #10
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | DME.000248
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License Number State | LA
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Taxonomy #11
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | R3457
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License Number State | MD
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Taxonomy #12
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 5306003903
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License Number State | MI
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Taxonomy #13
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | F09620
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License Number State | MS
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Taxonomy #14
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | PHA-WDD-LIC-1796
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License Number State | MT
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Taxonomy #15
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 47578
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License Number State | CA
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