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General NPI Number Information
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NPI Number | 1275000648
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Entity Type | Organization
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Legal Business Name | SADME, LLC
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Dates
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Enumeration Date | 10/24/2018
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Last Update Date | 12/26/2018
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Provider Practice Location Address
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Address Line | 3619 PAESANOS PKWY STE 302
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City | SAN ANTONIO
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State | TX
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Zip | 78231-1259
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Country | US
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Telephone | 210-750-3428
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Fax |
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Provider Business Mailing Address
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Address Line | 10730 POTRANCO RD STE 122 # 158
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City | SAN ANTONIO
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State | TX
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Zip | 78251-3330
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Country | US
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Telephone | 210-750-3428
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Fax |
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Authorized Official
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Title or Position | COUNSEL
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Name | MR. LIZETTE MORIN
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Credential | JD
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Telephone | 210-598-2801
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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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