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General NPI Number Information
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NPI Number | 1497134084
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Entity Type | Organization
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Legal Business Name | INFINITY DME SOLUTIONS, LLC
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Dates
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Enumeration Date | 05/28/2015
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Last Update Date | 05/28/2015
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Provider Practice Location Address
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Address Line | 401 CONGRESS AVE SUITE 1540
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City | AUSTIN
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State | TX
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Zip | 78701-4071
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Country | US
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Telephone | 817-614-9897
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Fax |
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Provider Business Mailing Address
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Address Line | 401 CONGRESS AVE SUITE 1540
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City | AUSTIN
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State | TX
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Zip | 78701-4071
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Country | US
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Telephone | 512-687-6264
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARTIN FULLER
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Credential |
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Telephone | 817-614-9897
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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 | TX
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