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General NPI Number Information
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NPI Number | 1285395681
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Entity Type | Organization
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Legal Business Name | 28TH STATE CONSTRUCTION LLC
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Dates
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Enumeration Date | 01/07/2022
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 2516 BUDDY OWENS AVE STE 5&7
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City | MCALLEN
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State | TX
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Zip | 78504-5464
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Country | US
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Telephone | 956-270-0842
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Fax | 956-306-3599
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Provider Business Mailing Address
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Address Line | 6603 HADDONFIELD ST
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City | EDINBURG
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State | TX
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Zip | 78542-4731
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Country | US
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Telephone | 956-270-0842
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRYAN MINJARES - SANCHEZ
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Credential |
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Telephone | 956-270-0842
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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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Taxonomy #2
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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