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General NPI Number Information
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NPI Number | 1023325610
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Entity Type | Organization
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Legal Business Name | DELROSE MEDICAL EQUIPMENT & SUPPLY,INC
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Dates
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Enumeration Date | 09/03/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 811 S CENTRAL EXPY SUITE 541
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City | RICHARDSON
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State | TX
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Zip | 75080-7415
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Country | US
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Telephone | 972-699-9200
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Fax | 972-699-9207
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Provider Business Mailing Address
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Address Line | 811 S CENTRAL EXPY SUITE 541
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City | RICHARDSON
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State | TX
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Zip | 75080-7415
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Country | US
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Telephone | 972-699-9200
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Fax | 972-699-9207
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Authorized Official
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Title or Position | DIRECTOR
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Name | IGNA IKE UGOH
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Credential | RRT,RCP
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Telephone | 972-699-9200
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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 | TX
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 217057301
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 217057302
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 217057303
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License Number State | TX
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