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General NPI Number Information
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NPI Number | 1508948811
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Entity Type | Organization
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Legal Business Name | MMS EQUIPMENT OF FORT WORTH, INC
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 05/10/2012
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Provider Practice Location Address
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Address Line | 7415 WHITEHALL ST SUITE 113
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City | RICHLAND HILLS
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State | TX
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Zip | 76118-6427
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Country | US
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Telephone | 817-589-0759
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Fax | 817-284-1798
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Provider Business Mailing Address
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Address Line | 7415 WHITEHALL ST SUITE 113
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City | RICHLAND HILLS
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State | TX
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Zip | 76118-6427
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Country | US
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Telephone | 817-589-0759
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Fax | 817-284-1798
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAY FERRI
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Credential |
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Telephone | 817-589-0759
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 0036377
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License Number State | TX
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Taxonomy #2
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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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