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General NPI Number Information
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NPI Number | 1538193743
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Entity Type | Organization
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Legal Business Name | COASTAL BEND RURAL MEDICAL EQUIPMENT INC.
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 200 S HILLSIDE DR
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City | BEEVILLE
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State | TX
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Zip | 78102-5349
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Country | US
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Telephone | 361-358-7334
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Fax | 361-358-2767
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Provider Business Mailing Address
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Address Line | PO BOX 1176
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City | BEEVILLE
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State | TX
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Zip | 78104-1176
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Country | US
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Telephone | 361-358-7334
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Fax | 361-358-2767
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DANNY DOBSON
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Credential |
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Telephone | 361-362-8794
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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 | 0028184
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License Number State | TX
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