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General NPI Number Information
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NPI Number | 1083818744
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Entity Type | Organization
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Legal Business Name | AXIS MEDICAL SUPPLY
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 5360 N MESA ST SUITE J10
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City | EL PASO
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State | TX
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Zip | 79912-5872
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Country | US
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Telephone | 915-603-3616
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Fax | 915-533-3031
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Provider Business Mailing Address
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Address Line | P O BOX 221347
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City | EL PASO
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State | TX
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Zip | 79913
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Country | US
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Telephone | 915-603-3616
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT VEILLEUX
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Credential |
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Telephone | 915-603-3616
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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 | 0096015
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License Number State | TX
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