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General NPI Number Information
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NPI Number | 1205034709
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Entity Type | Organization
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Legal Business Name | DURABLE MEDICAL EQUIPMENT SOLUTION
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 09/28/2007
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Provider Practice Location Address
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Address Line | 8034 CULEBRA RD SUITE 114
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City | SAN ANTONIO
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State | TX
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Zip | 78251-1882
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Country | US
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Telephone | 210-744-3325
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Fax | 210-521-1924
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Provider Business Mailing Address
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Address Line | 8034 CULEBRA RD SUITE 114
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City | SAN ANTONIO
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State | TX
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Zip | 78251-1882
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Country | US
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Telephone | 210-744-3325
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Fax | 210-521-1924
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Authorized Official
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Title or Position | OWNER
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Name | ERNEST A GONZALES
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Credential |
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Telephone | 210-744-3325
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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 | 32016929591
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License Number State | TX
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