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General NPI Number Information
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NPI Number | 1386800423
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Entity Type | Organization
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Legal Business Name | MEDICAL PLUS SUPPLIES, INC.
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Dates
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Enumeration Date | 07/29/2008
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Last Update Date | 10/13/2021
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Provider Practice Location Address
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Address Line | 201 E MAIN ST
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City | GRAND PRAIRIE
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State | TX
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Zip | 75050-5724
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Country | US
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Telephone | 713-440-6700
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Fax | 888-331-4002
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Provider Business Mailing Address
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Address Line | 1555 AVENUE S 102
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City | GRAND PRAIRIE
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State | TX
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Zip | 75050-1276
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Country | US
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Telephone | 713-440-6700
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Fax | 866-867-7395
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. ESTEBAN RODRIGUEZ
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Credential |
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Telephone | 713-440-6700
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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 | 0104636
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License Number State | TX
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