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General NPI Number Information
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NPI Number | 1326645086
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Entity Type | Organization
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Legal Business Name | DURA MED, INC.
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Dates
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Enumeration Date | 10/06/2020
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Last Update Date | 10/13/2020
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Provider Practice Location Address
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Address Line | 600 BESSEMER AVE
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City | LLANO
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State | TX
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Zip | 78643-1608
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Country | US
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Telephone | 252-474-1553
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Fax | 325-247-5554
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Provider Business Mailing Address
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Address Line | 600 BESSEMER AVE
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City | LLANO
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State | TX
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Zip | 78643-1608
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Country | US
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Telephone | 325-247-4155
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Fax | 325-247-5554
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Authorized Official
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Title or Position | OWNER
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Name | TODD HUMPHRIES
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Credential |
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Telephone | 325-247-4155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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