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General NPI Number Information
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NPI Number | 1043213804
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Entity Type | Organization
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Legal Business Name | INDEPENDENCE REHAB EQUIPMENT INC.
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8844 TRADEWAY ST
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City | SAN ANTONIO
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State | TX
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Zip | 78217-6115
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Country | US
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Telephone | 210-832-9770
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Fax | 210-832-0010
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Provider Business Mailing Address
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Address Line | 8844 TRADEWAY ST
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City | SAN ANTONIO
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State | TX
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Zip | 78217-6115
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Country | US
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Telephone | 210-832-9770
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Fax | 210-832-0010
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KEN C HEALY
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Credential |
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Telephone | 210-832-9770
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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 | 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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Taxonomy #3
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QA3000X
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Taxonomy Name | Augmentative Communication Clinic/Center
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License Number |
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License Number State |
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