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General NPI Number Information
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NPI Number | 1053392753
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Entity Type | Organization
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Legal Business Name | UNIONSTAR MEDICAL SUPPLIES & SERVICES
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 02/04/2008
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Provider Practice Location Address
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Address Line | 720 E MAIN ST STE D-5
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City | ALLEN
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State | TX
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Zip | 75002-3105
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Country | US
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Telephone | 214-474-1770
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Fax | 214-474-1771
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Provider Business Mailing Address
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Address Line | 720 E MAIN ST STE D-5
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City | ALLEN
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State | TX
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Zip | 75002-3105
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Country | US
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Telephone | 214-474-1770
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Fax | 214-474-1771
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | IYAKINOABASI E MBRIDE
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Credential |
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Telephone | 214-474-1770
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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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