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General NPI Number Information
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NPI Number | 1215597125
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Entity Type | Organization
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Legal Business Name | PREMIER DME CONSULTANTS, LLC
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Dates
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Enumeration Date | 06/13/2019
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Last Update Date | 06/13/2019
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Provider Practice Location Address
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Address Line | 362 OAKS TRL STE 146
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City | GARLAND
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State | TX
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Zip | 75043-8021
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Country | US
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Telephone | 469-318-3998
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Fax |
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Provider Business Mailing Address
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Address Line | 719 STARLIGHT PASS
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City | HEATH
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State | TX
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Zip | 75032-5986
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KEVIN PARKER
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Credential | DC
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Telephone | 469-318-3998
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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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