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General NPI Number Information
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NPI Number | 1255398384
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Entity Type | Organization
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Legal Business Name | NEB-MEDS INC
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 10/05/2010
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Provider Practice Location Address
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Address Line | 44 NORTH 11TH STREET
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City | BEAUMONT
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State | TX
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Zip | 77702-2225
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Country | US
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Telephone | 409-832-3708
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Fax | 409-835-6522
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Provider Business Mailing Address
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Address Line | PO BOX 20993
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City | BEAUMONT
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State | TX
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Zip | 77720-0993
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Country | US
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Telephone | 409-832-3708
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Fax | 409-832-6522
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES DENNIS KEENE
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Credential |
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Telephone | 409-832-3708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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