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General NPI Number Information
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NPI Number | 1134295686
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Entity Type | Organization
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Legal Business Name | PREMIER MEDICAL SERVICES
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 05/11/2012
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Provider Practice Location Address
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Address Line | 3101 N 21ST ST SUITE I
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City | MCALLEN
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State | TX
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Zip | 78501-6140
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Country | US
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Telephone | 956-687-4767
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Fax | 956-687-4768
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Provider Business Mailing Address
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Address Line | 3101 N 21ST ST SUITE I
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City | MCALLEN
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State | TX
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Zip | 78501-6140
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Country | US
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Telephone | 956-687-4767
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Fax | 956-687-4768
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Authorized Official
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Title or Position | PARTNER&DIRECTOR OF CLINICAL SVCS
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Name | MR. JOSE RIOJAS SR.
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Credential | CRT
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Telephone | 956-687-4767
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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 | 0090461
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License Number State | TX
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