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General NPI Number Information
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NPI Number | 1184956344
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Entity Type | Organization
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Legal Business Name | TEXAS DURABLE MEDICAL EQUIPMENT, INC
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Dates
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Enumeration Date | 02/12/2010
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Last Update Date | 02/12/2010
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Provider Practice Location Address
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Address Line | 2298 N VETERANS BLVD SUITE 1
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City | EAGLE PASS
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State | TX
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Zip | 78852-4160
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Country | US
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Telephone | 830-757-5800
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Fax | 830-757-5801
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Provider Business Mailing Address
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Address Line | 113 S COMMERCE ST
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City | DILLEY
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State | TX
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Zip | 78017-3501
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Country | US
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Telephone | 830-965-4900
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Fax | 830-965-4911
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Authorized Official
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Title or Position | OWNER
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Name | MR. HARVEY E COURSER
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Credential | C PED
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Telephone | 830-965-4900
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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 | 332B00000X
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License Number State | TX
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