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General NPI Number Information
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NPI Number | 1003287657
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Entity Type | Organization
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Legal Business Name | JUNA MEDICAL LLC
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Dates
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Enumeration Date | 10/08/2015
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Last Update Date | 10/08/2015
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Provider Practice Location Address
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Address Line | 5420 BELLAIRE BLVD, SUITE C
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City | BELLAIRE
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State | TX
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Zip | 77401
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Country | US
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Telephone | 713-501-8201
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Fax | 713-456-2093
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Provider Business Mailing Address
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Address Line | 5420 BELLAIRE BLVD, SUITE C
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City | BELLAIRE
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State | TX
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Zip | 77401
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Country | US
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Telephone | 713-501-8201
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Fax | 713-456-2093
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. INAKI GOICOECHEA
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Credential |
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Telephone | 713-501-8201
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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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