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General NPI Number Information
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NPI Number | 1366296337
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Entity Type | Organization
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Legal Business Name | ESTRELLA DME LLC
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Dates
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Enumeration Date | 04/15/2024
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 5813 E US HIGHWAY 83 STE 3
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582-9761
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Country | US
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Telephone | 956-803-9081
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Fax | 956-803-9082
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Provider Business Mailing Address
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Address Line | 5813 E US HIGHWAY 83 STE 3
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582-9761
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Country | US
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Telephone | 956-803-9081
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Fax | 956-803-9082
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Authorized Official
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Title or Position | OWNER
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Name | DIMAS VILLARREAL
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Credential | RN
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Telephone | 956-566-1947
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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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