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General NPI Number Information
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NPI Number | 1992162192
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Entity Type | Organization
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Legal Business Name | ENEURA, INC.
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Dates
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Enumeration Date | 01/20/2016
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Last Update Date | 01/20/2016
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Provider Practice Location Address
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Address Line | 715 N PASTORIA AVE
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City | SUNNYVALE
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State | CA
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Zip | 94085-2918
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Country | US
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Telephone | 408-245-6400
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Fax | 408-245-6424
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Provider Business Mailing Address
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Address Line | 715 N PASTORIA AVE
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City | SUNNYVALE
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State | CA
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Zip | 94085-2918
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Country | US
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Telephone | 408-245-6400
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Fax | 408-245-6424
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Authorized Official
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Title or Position | PRESIDENT AND CHIEF EXECUTIVE OFFIC
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Name | DAVID K. ROSEN
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Credential | M.D.
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Telephone | 408-245-6400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 77968
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License Number State | CA
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