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General NPI Number Information
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NPI Number | 1083040901
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Entity Type | Organization
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Legal Business Name | SMART CHOICE MEDICAL SUPPLY LLC
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Dates
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Enumeration Date | 09/24/2013
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Last Update Date | 12/10/2021
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Provider Practice Location Address
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Address Line | 1003 BECKETT SUITE 102
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City | SAN ANTONIO
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State | TX
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Zip | 78213-1353
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Country | US
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Telephone | 210-525-8595
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Fax |
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Provider Business Mailing Address
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Address Line | 1003 BECKETT STE 102
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City | SAN ANTONIO
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State | TX
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Zip | 78213-1371
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Country | US
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Telephone | 210-301-0028
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Fax | 210-579-1861
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. CLOTHILDE GONZALEZ
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Credential |
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Telephone | 210-825-4121
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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 | 1001203
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License Number State | TX
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