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NPI 1063448819

NPI 1063448819 : ASAP MEDICAL EQUIPMENT & SUPPLY : MISSION, TX

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General NPI Number Information
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    NPI Number           |    1063448819
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASAP MEDICAL EQUIPMENT & SUPPLY 
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Dates
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    Enumeration Date     |    06/23/2006
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    Last Update Date     |    10/20/2008
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Provider Practice Location Address
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    Address Line         |    900 PLAZA DR STE- 1
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    City                 |    MISSION
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    State                |    TX
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    Zip                  |    78572-6045
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    Country              |    US
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    Telephone            |    956-583-6060
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    Fax                  |    956-583-6084
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Provider Business Mailing Address
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    Address Line         |    900 PLAZA DR STE- 1
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    City                 |    MISSION
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    State                |    TX
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    Zip                  |    78572-6045
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    Country              |    US
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    Telephone            |    956-583-6060
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    Fax                  |    956-583-6084
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Authorized Official
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    Title or Position    |    OWNER/ ADMINISTRATIVE
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    Name                 |    MRS. MICHELLE Y. CANTU 
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    Credential           |    
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    Telephone            |    956-583-6060
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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       |    0077143
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    License Number State |    TX
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