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NPI 1447847447

NPI 1447847447 : 1ST CHOICE HOME MEDICAL EQUIPMENT, LLC : EAGLE PASS, TX

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General NPI Number Information
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    NPI Number           |    1447847447
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    Entity Type          |    Organization 
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    Legal Business Name  |    1ST CHOICE HOME MEDICAL EQUIPMENT, LLC 
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Dates
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    Enumeration Date     |    12/23/2020
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    Last Update Date     |    05/26/2021
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Provider Practice Location Address
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    Address Line         |    1795 S VETERANS BLVD 
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    City                 |    EAGLE PASS
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    State                |    TX
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    Zip                  |    78852-6746
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    Country              |    US
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    Telephone            |    830-872-0012
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    Fax                  |    830-872-0017
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Provider Business Mailing Address
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    Address Line         |    1795 S VETERANS BLVD 
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    City                 |    EAGLE PASS
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    State                |    TX
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    Zip                  |    78852-6746
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    Country              |    US
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    Telephone            |    830-872-0012
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. ZAIDA BAINET HEREDIA 
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    Credential           |    
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    Telephone            |    830-584-6060
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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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