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General NPI Number Information
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NPI Number | 1104833011
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Entity Type | Organization
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Legal Business Name | CANTU DME
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7356 E. HWY 83
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582
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Country | US
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Telephone | 956-488-2804
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Fax | 956-488-9019
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Provider Business Mailing Address
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Address Line | 7356 E. HWY 83
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582
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Country | US
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Telephone | 956-488-2804
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Fax | 956-488-9019
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ARNULFO CANTU
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Credential |
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Telephone | 956-458-0630
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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 | 0090500
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License Number State | TX
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