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General NPI Number Information
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NPI Number | 1174484422
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Entity Type | Organization
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Legal Business Name | LURACO HEALTH & BEAUTY LLC
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 1140 107TH ST
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City | ARLINGTON
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State | TX
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Zip | 76011-3109
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Country | US
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Telephone | 817-633-1080
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Fax | 817-633-1085
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Provider Business Mailing Address
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Address Line | 1140 107TH ST
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City | ARLINGTON
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State | TX
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Zip | 76011-3109
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Country | US
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Telephone | 817-633-1080
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Fax | 817-633-1085
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Authorized Official
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Title or Position | MANUFACTURES REPRESENTATIVE
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Name | MR. ROBERT L NELSON
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Credential |
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Telephone | 817-633-1080
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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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