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General NPI Number Information
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NPI Number | 1427468099
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Entity Type | Organization
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Legal Business Name | ANGELIC MEDICAL DESIGNS LLC
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Dates
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Enumeration Date | 05/05/2014
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Last Update Date | 06/24/2015
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Provider Practice Location Address
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Address Line | 7043 BANDERA RD
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City | SAN ANTONIO
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State | TX
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Zip | 78238-1266
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Country | US
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Telephone | 210-384-9201
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Fax | 201-384-9212
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Provider Business Mailing Address
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Address Line | 7043 BANDERA RD
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City | SAN ANTONIO
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State | TX
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Zip | 78238-1266
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Country | US
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Telephone | 210-384-9201
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Fax | 201-384-9212
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Authorized Official
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Title or Position | OWNER/ PRESIDENT
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Name | MRS. MARY J RIOS
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Credential | LVN
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Telephone | 210-414-9014
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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 | 1001404
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License Number State | TX
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