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General NPI Number Information
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NPI Number | 1275033581
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Entity Type | Organization
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Legal Business Name | NBRACE DME, INC.
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Dates
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Enumeration Date | 02/14/2018
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Last Update Date | 07/24/2018
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Provider Practice Location Address
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Address Line | 5339 ALPHA RD SUITE 450
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City | DALLAS
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State | TX
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Zip | 75240
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Country | US
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Telephone | 210-727-2813
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 591512
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City | SAN ANTONIO
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State | TX
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Zip | 78259-0125
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Country | US
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Telephone | 210-727-2813
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRIAN KIESER
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Credential |
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Telephone | 210-727-2813
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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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