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General NPI Number Information
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NPI Number | 1255339842
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Entity Type | Organization
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Legal Business Name | KEY MED INC
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 09/25/2018
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Provider Practice Location Address
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Address Line | 1124 S 12TH AVE
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City | EDINBURG
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State | TX
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Zip | 78539-5608
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Country | US
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Telephone | 866-408-3334
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Fax | 956-381-9009
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Provider Business Mailing Address
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Address Line | 1124 S 12TH AVE
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City | EDINBURG
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State | TX
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Zip | 78539-5608
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Country | US
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Telephone | 866-408-3334
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Fax | 956-381-9009
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Authorized Official
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Title or Position | OWNER
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Name | PATRICIO GARZA
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Credential | LVN
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Telephone | 956-381-9001
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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 | 0073621
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License Number State | TX
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