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General NPI Number Information
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NPI Number | 1174513295
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Entity Type | Organization
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Legal Business Name | ARBOR MEDICAL EQUIPMENT, INC
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Dates
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Enumeration Date | 10/28/2005
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Last Update Date | 12/02/2011
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Provider Practice Location Address
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Address Line | 5310 ACTON HWY STE 102
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City | GRANBURY
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State | TX
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Zip | 76049-3105
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Country | US
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Telephone | 817-326-2325
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Fax | 817-326-2327
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Provider Business Mailing Address
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Address Line | 5310 ACTON HWY STE 102
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City | GRANBURY
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State | TX
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Zip | 76049-3105
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Country | US
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Telephone | 817-326-2325
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Fax | 817-326-2327
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Authorized Official
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Title or Position | PRESIDENT
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Name | NOEL LEON DOUGLAS
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Credential |
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Telephone | 817-326-2325
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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 | 0071214
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License Number State | TX
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