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General NPI Number Information
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NPI Number | 1104328533
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Entity Type | Organization
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Legal Business Name | RT AUTOMOTIVE, INC.
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Dates
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Enumeration Date | 03/01/2018
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Last Update Date | 03/01/2018
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Provider Practice Location Address
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Address Line | 24086 FM 838 W
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City | OVERTON
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State | TX
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Zip | 75684-4427
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Country | US
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Telephone | 903-859-2933
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Fax | 903-859-2933
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Provider Business Mailing Address
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Address Line | 16294 STATE HIGHWAY 135
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City | ARP
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State | TX
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Zip | 75750-9406
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Country | US
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Telephone | 903-859-2933
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Fax | 903-859-2933
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Authorized Official
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Title or Position | OWNER
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Name | MR. ANTHONY JACKSON
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Credential |
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Telephone | 903-859-2933
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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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