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NPI 1326044157

NPI 1326044157 : AMERICAN MEDICAL SUPPLY COMPANY : COLUMBUS, TX

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General NPI Number Information
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    NPI Number           |    1326044157
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMERICAN MEDICAL SUPPLY COMPANY 
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Dates
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    Enumeration Date     |    06/27/2005
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    314 WALNUT ST 
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    City                 |    COLUMBUS
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    State                |    TX
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    Zip                  |    78934-2453
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    Country              |    US
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    Telephone            |    979-732-9111
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    314 WALNUT ST 
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    City                 |    COLUMBUS
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    State                |    TX
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    Zip                  |    78934-2453
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    Country              |    US
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    Telephone            |    979-732-9111
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PARTNER
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    Name                 |    MS. JOHNNA CAROL MAERTZ 
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    Credential           |    
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    Telephone            |    979-732-9111
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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       |    0029598A
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    TX0009135
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    License Number State |    TX
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Taxonomy #3
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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 |    TX
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