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NPI 1023653243

NPI 1023653243 : DL DURABLE EQUIPMENT LLC : FORT WORTH, TX

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General NPI Number Information
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    NPI Number           |    1023653243
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    Entity Type          |    Organization 
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    Legal Business Name  |    DL DURABLE EQUIPMENT LLC 
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Dates
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    Enumeration Date     |    11/12/2019
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    Last Update Date     |    11/12/2019
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Provider Practice Location Address
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    Address Line         |    801 E. DEBBIE LANE SUITE 101C 
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    City                 |    FORT WORTH
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    State                |    TX
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    Zip                  |    76118-7611
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    Country              |    US
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    Telephone            |    817-287-8044
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9032 TYNE TRL 
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    City                 |    FORT WORTH
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    State                |    TX
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    Zip                  |    76118-7501
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    Country              |    US
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    Telephone            |    817-287-8044
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     KAMLESH RAMBHAI PATEL 
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    Credential           |    
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    Telephone            |    817-287-8044
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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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