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General NPI Number Information
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NPI Number | 1215934690
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Entity Type | Organization
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Legal Business Name | NEW ABILITIES MEDICAL EQUIPMENT & SUPPLIES, INC.
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 05/14/2009
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Provider Practice Location Address
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Address Line | 10821 GULFDALE
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City | SAN ANTONIO
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State | TX
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Zip | 78216-3608
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Country | US
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Telephone | 210-375-0003
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Fax | 210-375-0009
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Provider Business Mailing Address
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Address Line | 10821 GULFDALE
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City | SAN ANTONIO
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State | TX
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Zip | 78216-3608
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Country | US
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Telephone | 210-375-0003
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Fax | 210-375-0009
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. TINA MARIE PETERSON
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Credential | ATP, CRTS
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Telephone | 210-375-0003
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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 | 1004576
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 0063893
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0063893
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 0063893
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 0063893
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License Number State | TX
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