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General NPI Number Information
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NPI Number | 1184786436
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Entity Type | Organization
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Legal Business Name | ADVANCED MEDEQUIP AND SUPPLIES LTD
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 331 MELROSE DR SUITE #106
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City | RICHARDSON
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State | TX
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Zip | 75080-4405
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Country | US
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Telephone | 972-479-1005
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Fax | 972-479-1854
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Provider Business Mailing Address
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Address Line | 331 MELROSE DR SUITE #106
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City | RICHARDSON
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State | TX
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Zip | 75080-4405
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Country | US
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Telephone | 972-479-1005
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Fax | 972-479-1854
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. OKEY F NWAGBARA
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Credential |
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Telephone | 972-479-1005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 0092679
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License Number State | TX
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