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General NPI Number Information
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NPI Number | 1376913657
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Entity Type | Organization
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Legal Business Name | MORE DME LLC.
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Dates
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Enumeration Date | 09/30/2015
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Last Update Date | 09/30/2015
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Provider Practice Location Address
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Address Line | 176 KCTM FM 103 RD
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582-9670
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Country | US
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Telephone | 956-573-1254
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Fax |
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Provider Business Mailing Address
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Address Line | 176 KCTM FM 103 RD
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582-9670
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Country | US
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Telephone | 956-573-1254
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ORFELINDA MOLINA
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Credential | PRESINDENT
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Telephone | 956-573-1254
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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 | 47-5058641
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License Number State | TX
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Taxonomy #2
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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 | TX
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