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General NPI Number Information
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NPI Number | 1093625824
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Entity Type | Organization
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Legal Business Name | MEDVINE HEALTH CARE SUPPLIES LLC
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 8700 US HIGHWAY 380
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City | CROSS ROADS
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State | TX
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Zip | 76227-2659
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Country | US
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Telephone | 972-375-8412
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Fax |
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Provider Business Mailing Address
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Address Line | 4151 MARIGOLD LN
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City | PROSPER
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State | TX
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Zip | 75078-3213
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Country | US
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Telephone | 972-375-8412
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | VANESSA SAWYER
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Credential |
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Telephone | 682-208-2012
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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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