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General NPI Number Information
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NPI Number | 1023174216
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Entity Type | Organization
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Legal Business Name | DME MART, LLC
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 04/07/2011
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Provider Practice Location Address
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Address Line | 512 S WESTGATE DR STE. C
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City | WESLACO
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State | TX
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Zip | 78596-5734
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Country | US
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Telephone | 956-969-3780
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Fax | 956-969-3782
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Provider Business Mailing Address
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Address Line | 512 S WESTGATE DR STE. C
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City | WESLACO
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State | TX
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Zip | 78596-5734
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Country | US
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Telephone | 956-969-3780
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Fax | 956-969-3782
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Authorized Official
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Title or Position | OWNER
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Name | RAMIRO A REYES
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Credential |
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Telephone | 956-969-3780
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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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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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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 |
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License Number State |
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