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NPI 1366237463

NPI 1366237463 : AMORVICK DME : MISSION, TX

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General NPI Number Information
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    NPI Number           |    1366237463
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMORVICK DME 
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Dates
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    Enumeration Date     |    04/10/2025
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    Last Update Date     |    06/13/2025
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Provider Practice Location Address
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    Address Line         |    934 JAY AVE 
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    City                 |    MISSION
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    State                |    TX
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    Zip                  |    78572-7221
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    Country              |    US
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    Telephone            |    956-599-7489
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    934 JAY AVE 
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    City                 |    MISSION
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    State                |    TX
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    Zip                  |    78572-7221
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    Country              |    US
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    Telephone            |    956-599-7489
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     VICTOR MANUEL MUNOZ JR.
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    Credential           |    
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    Telephone            |    956-257-8329
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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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