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General NPI Number Information
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NPI Number | 1003561754
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Entity Type | Organization
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Legal Business Name | REGIONAL DME LLC
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Dates
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Enumeration Date | 02/21/2022
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Last Update Date | 02/21/2022
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Provider Practice Location Address
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Address Line | 848 E EXPRESSWAY 83
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City | LA JOYA
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State | TX
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Zip | 78560-4252
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Country | US
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Telephone | 956-793-7702
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Fax | 956-519-0660
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Provider Business Mailing Address
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Address Line | PO BOX 487
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City | MISSION
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State | TX
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Zip | 78573-0009
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Country | US
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Telephone | 956-793-7702
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Fax | 956-519-0660
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Authorized Official
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Title or Position | ADMNISTRATION
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Name | DIEGO QUIJANO
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Credential |
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Telephone | 956-793-7702
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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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