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General NPI Number Information
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NPI Number | 1538116165
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Entity Type | Organization
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Legal Business Name | ANBIJAY MEDICAL SUPPLY DME, L.L.C.
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 4129 N 22ND ST
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City | MCALLEN
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State | TX
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Zip | 78504-4158
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Country | US
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Telephone | 956-668-9108
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Fax |
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Provider Business Mailing Address
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Address Line | 6004 N 36TH ST
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City | MCALLEN
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State | TX
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Zip | 78504-5048
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Country | US
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Telephone | 956-668-9108
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Fax | 956-668-9108
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSE ANTONIO GARCIA
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Credential | NONE
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Telephone | 956-668-9108
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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 | NOT AVAILABLE
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License Number State | TX
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