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General NPI Number Information
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NPI Number | 1427093012
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Entity Type | Organization
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Legal Business Name | EAGLE MEDICAL EQUIPMENT & SUPPLY CO.
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 01/20/2009
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Provider Practice Location Address
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Address Line | 9304 FOREST LN #238
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City | DALLAS
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State | TX
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Zip | 75243-6238
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Country | US
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Telephone | 214-342-6100
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Fax | 214-342-6101
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Provider Business Mailing Address
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Address Line | 9304 FOREST LN #238
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City | DALLAS
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State | TX
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Zip | 75243-6238
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Country | US
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Telephone | 214-342-6100
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Fax | 214-342-6101
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER/OWNER
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Name | UCHE E. NWABUNWANNE
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Credential |
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Telephone | 214-342-6100
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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 | 0101641
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License Number State | TX
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