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General NPI Number Information
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NPI Number | 1457490476
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Entity Type | Organization
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Legal Business Name | SANCO PAK, INC
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 04/04/2008
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Provider Practice Location Address
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Address Line | BANDERA ROAD #205B
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City | SAN ANTONIO
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State | TX
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Zip | 78238
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Country | US
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Telephone | 210-706-9228
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Fax |
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Provider Business Mailing Address
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Address Line | 5409 BANDERA RD STE 205B
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City | SAN ANTONIO
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State | TX
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Zip | 78238-1956
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Country | US
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Telephone | 210-706-9228
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Fax | 210-342-5030
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. OKEY OKOYE
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Credential |
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Telephone | 210-706-9228
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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 | 0069920
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License Number State | TX
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