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General NPI Number Information
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NPI Number | 1356610182
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Entity Type | Organization
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Legal Business Name | VMD MEDIQUIP, LLC
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Dates
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Enumeration Date | 12/22/2011
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Last Update Date | 02/23/2017
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Provider Practice Location Address
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Address Line | 1200 BINZ ST SUITE 480
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City | HOUSTON
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State | TX
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Zip | 77004-6900
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Country | US
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Telephone | 888-500-2348
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Fax |
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Provider Business Mailing Address
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Address Line | 3007 FALLSCREEK CT
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City | PEARLAND
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State | TX
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Zip | 77584-7040
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DEJAN MILOSEVIC
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Credential |
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Telephone | 888-500-2348
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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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