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General NPI Number Information
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NPI Number | 1467765073
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Entity Type | Organization
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Legal Business Name | RELIABLE D M E LLC
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Dates
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Enumeration Date | 07/24/2010
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Last Update Date | 08/26/2013
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Provider Practice Location Address
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Address Line | 5117 E. HWY 83 STE. A
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582-6396
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Country | US
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Telephone | 956-487-2000
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Fax | 956-487-2001
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Provider Business Mailing Address
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Address Line | 5117 E. HWY 83 STE. A
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582-6396
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Country | US
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Telephone | 956-487-2000
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Fax | 956-487-2001
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOSE ONELIO LEAL JR.
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Credential | LVN
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Telephone | 956-487-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #3
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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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