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General NPI Number Information
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NPI Number | 1447060512
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Entity Type | Organization
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Legal Business Name | MEDFUSION SUPPLIES INC
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Dates
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Enumeration Date | 01/10/2025
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 7801 N CAPITAL OF TEXAS HWY STE 386
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City | AUSTIN
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State | TX
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Zip | 78731-1169
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Country | US
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Telephone | 512-375-3493
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Fax | 512-375-3492
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Provider Business Mailing Address
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Address Line | 7801 N CAPITAL OF TEXAS HWY STE 386
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City | AUSTIN
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State | TX
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Zip | 78731-1169
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Country | US
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Telephone | 512-375-3493
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Fax | 512-375-3492
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MR. KHALIL SHAFIQ
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Credential |
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Telephone | 512-750-4858
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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 |
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License Number State |
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