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General NPI Number Information
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NPI Number | 1194301689
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Entity Type | Organization
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Legal Business Name | SEMED LLC
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Dates
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Enumeration Date | 03/23/2021
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Last Update Date | 03/23/2021
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Provider Practice Location Address
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Address Line | 1879 S VETERANS BLVD STE 3
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City | EAGLE PASS
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State | TX
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Zip | 78852-6617
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Country | US
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Telephone | 830-522-5890
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Fax |
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Provider Business Mailing Address
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Address Line | 1879 S VETERANS BLVD STE 3
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City | EAGLE PASS
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State | TX
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Zip | 78852-6617
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Country | US
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Telephone | 830-522-5890
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. MARIO L MENDOZA
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Credential |
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Telephone | 830-325-1252
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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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