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General NPI Number Information
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NPI Number | 1245303486
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Entity Type | Organization
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Legal Business Name | DASHE ORTHOPEDIC SUPPLIES INC
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 01/06/2011
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Provider Practice Location Address
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Address Line | 5445 LA SIERRA DR SUITE 105
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City | DALLAS
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State | TX
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Zip | 75231-4139
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Country | US
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Telephone | 972-705-9090
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Fax | 970-705-9099
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Provider Business Mailing Address
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Address Line | 8800 SHOAL CREEK BLVD SUITE B
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City | AUSTIN
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State | TX
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Zip | 78757-6818
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Country | US
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Telephone | 512-371-1700
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Fax | 512-371-1754
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Authorized Official
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Title or Position | CFO
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Name | MR. JORGE BARRETT
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Credential |
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Telephone | 512-371-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 00427999
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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 | 0042799
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License Number State | TX
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