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General NPI Number Information
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NPI Number | 1144106493
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Entity Type | Organization
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Legal Business Name | MD MEDRX LLC
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 1750 BRIERCROFT CT STE 232
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City | CARROLLTON
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State | TX
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Zip | 75006-7455
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Country | US
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Telephone | 214-279-9637
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Fax |
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Provider Business Mailing Address
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Address Line | 1750 BRIERCROFT CT STE 232
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City | CARROLLTON
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State | TX
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Zip | 75006-7455
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICAH DRIVER
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Credential |
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Telephone | 817-613-6452
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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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