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General NPI Number Information
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NPI Number | 1114097490
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Entity Type | Organization
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Legal Business Name | ALL STAR MEDICAL EQUIPMENT & SUPPLIES INC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 11/01/2021
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Provider Practice Location Address
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Address Line | 84 NE LOOP 410 STE 281
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City | SAN ANTONIO
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State | TX
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Zip | 78216-8406
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Country | US
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Telephone | 210-521-2100
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Fax | 210-521-2110
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Provider Business Mailing Address
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Address Line | 84 NE LOOP 410 STE 281
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City | SAN ANTONIO
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State | TX
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Zip | 78216-8406
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Country | US
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Telephone | 210-521-2100
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Fax | 210-521-2110
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Authorized Official
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Title or Position | OWNER
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Name | MS. ALFONSO CUENTAS
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Credential |
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Telephone | 210-521-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 0085457
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License Number State | TX
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