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General NPI Number Information
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NPI Number | 1053416933
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Entity Type | Organization
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Legal Business Name | AABCO MEDICAL, INC.
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 582 AIRPORT RD
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City | SULPHUR SPRINGS
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State | TX
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Zip | 75482-2008
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Country | US
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Telephone | 903-439-1118
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Fax | 903-885-4721
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Provider Business Mailing Address
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Address Line | PO BOX 2104
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City | SULPHUR SPRINGS
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State | TX
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Zip | 75483-2104
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Country | US
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Telephone | 903-439-1118
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Fax | 903-885-4721
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | MRS. DONNA K LUTTRELL
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Credential |
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Telephone | 903-439-1118
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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 | 20865
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License Number State | TX
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