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General NPI Number Information
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NPI Number | 1063624120
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Entity Type | Organization
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Legal Business Name | ECONO-MED MEDICAL EQUIPMENT AND SUPPLIES, LLC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 700 N MCCOLL RD SUITE C2
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City | MCALLEN
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State | TX
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Zip | 78501-9362
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Country | US
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Telephone | 956-631-5522
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Fax | 956-631-4544
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Provider Business Mailing Address
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Address Line | 700 N MCCOLL RD SUITE C2
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City | MCALLEN
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State | TX
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Zip | 78501-9362
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Country | US
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Telephone | 956-631-5522
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Fax | 956-631-4544
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Authorized Official
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Title or Position | PRINCIPAL
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Name | MR. GENARO MUNOZ III
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Credential |
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Telephone | 956-631-5522
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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 | 0094348
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License Number State | TX
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