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General NPI Number Information
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NPI Number | 1073865309
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Entity Type | Organization
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Legal Business Name | RND MEDICAL, LLC
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Dates
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Enumeration Date | 10/10/2012
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Last Update Date | 10/10/2012
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Provider Practice Location Address
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Address Line | 509 E BROADWAY BLVD
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City | PORTLAND
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State | TX
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Zip | 78374-4203
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Country | US
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Telephone | 361-446-5709
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Fax | 361-643-4319
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Provider Business Mailing Address
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Address Line | PO BOX 270594
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City | CORPUS CHRISTI
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State | TX
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Zip | 78427-0594
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Country | US
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Telephone | 361-446-5709
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Fax | 361-643-4319
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT NOLAN DONAHUE
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Credential |
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Telephone | 361-446-5709
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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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