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General NPI Number Information
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NPI Number | 1396849543
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Entity Type | Organization
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Legal Business Name | COMMUNITY MEDICAL RENTAL & SUPPLY INC
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Dates
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Enumeration Date | 09/09/2006
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Last Update Date | 01/24/2022
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Provider Practice Location Address
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Address Line | 1025 HWY 16 S
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City | FREDERICKSBURG
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State | TX
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Zip | 78624
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Country | US
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Telephone | 830-997-2609
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Fax | 830-997-4629
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Provider Business Mailing Address
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Address Line | 1025 HWY 16 S
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City | FREDERICKSBURG
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State | TX
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Zip | 78624
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Country | US
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Telephone | 830-997-2609
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Fax | 830-997-4629
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | MR. CASEY TEBBS
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Credential |
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Telephone | 253-377-1358
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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 | 0008341
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License Number State | TX
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