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General NPI Number Information
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NPI Number | 1326682279
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Entity Type | Organization
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Legal Business Name | ARANSAS MEDICAL SUPPLY INC
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Dates
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Enumeration Date | 11/04/2019
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Last Update Date | 02/15/2022
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Provider Practice Location Address
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Address Line | 1521 W MARKET ST STE E
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City | ROCKPORT
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State | TX
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Zip | 78382-6221
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Country | US
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Telephone | 362-239-5739
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Fax | 361-288-1175
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Provider Business Mailing Address
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Address Line | PO BOX 837
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City | ROCKPORT
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State | TX
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Zip | 78381-0837
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Country | US
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Telephone | 361-239-5739
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Fax | 361-288-1175
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. AARON PRIDGEON
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Credential |
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Telephone | 512-659-6446
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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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