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General NPI Number Information
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NPI Number | 1467555706
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Entity Type | Organization
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Legal Business Name | ASA MEDICAL EQUIPMENT & SUPPLIES
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 06/15/2009
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Provider Practice Location Address
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Address Line | 700 S COCKRELL HILL RD SUITE 184
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City | DUNCANVILLE
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State | TX
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Zip | 75137-2600
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Country | US
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Telephone | 972-709-4433
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Fax | 972-709-4434
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Provider Business Mailing Address
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Address Line | PO BOX 382637
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City | DUNCANVILLE
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State | TX
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Zip | 75138-2637
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Country | US
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Telephone | 972-709-4433
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Fax | 972-709-4434
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ESSIEN COBY COBHAM
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Credential |
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Telephone | 972-709-4433
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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 | 0073631
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License Number State | TX
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