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General NPI Number Information
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NPI Number | 1407159817
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Entity Type | Organization
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Legal Business Name | URS SUB I, LLC
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Dates
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Enumeration Date | 12/08/2010
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 4830 LAKEWOOD DR STE 1
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City | WACO
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State | TX
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Zip | 76710-2966
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Country | US
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Telephone | 254-751-1556
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Fax | 254-751-1960
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Provider Business Mailing Address
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Address Line | 4830 LAKEWOOD DR STE 1
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City | WACO
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State | TX
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Zip | 76710-2969
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Country | US
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Telephone | 254-751-1556
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Fax | 254-751-1960
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Authorized Official
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Title or Position | CAO
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Name | CAMEO ZEHNDER
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Credential |
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Telephone | 651-642-1825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 1000532
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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 | 1000532
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License Number State | TX
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