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NPI 1366439507

NPI 1366439507 : KCI USA, INC. : SALT LAKE CITY, UT

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General NPI Number Information
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    NPI Number           |    1366439507
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    Entity Type          |    Organization 
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    Legal Business Name  |    KCI USA, INC. 
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Dates
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    Enumeration Date     |    10/03/2005
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    Last Update Date     |    08/20/2025
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Provider Practice Location Address
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    Address Line         |    1765 S 900 W STE 88 
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    City                 |    SALT LAKE CITY
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    State                |    UT
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    Zip                  |    84104
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    Country              |    US
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    Telephone            |    801-972-1564
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6103 FARINON DR ATTN HCC
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78249-3442
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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    |    VP, MEDICARE ENROLLMENT
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    Name                 |     ROSA  GOMEZ 
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    Credential           |    
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    Telephone            |    830-292-1612
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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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