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General NPI Number Information
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NPI Number | 1558360008
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Entity Type | Organization
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Legal Business Name | AMERICAN DURABLE MEDICAL EQUIPMENT CORPORATION
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 10/02/2014
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Provider Practice Location Address
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Address Line | 1177 ROCKINGHAM DR SUITE 200
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City | RICHARDSON
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State | TX
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Zip | 75080-4372
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Country | US
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Telephone | 972-818-2828
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Fax | 972-818-9489
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Provider Business Mailing Address
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Address Line | 1177 ROCKINGHAM DR SUITE 200
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City | RICHARDSON
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State | TX
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Zip | 75080-4372
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Country | US
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Telephone | 972-818-2828
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Fax | 972-818-9489
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Authorized Official
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Title or Position | CEO
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Name | MR. WING H CHUN
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Credential | R.N., M.S.N.
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Telephone | 972-818-2828
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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 | 0076746
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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 | 0076746
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 0076746
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License Number State | TX
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