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General NPI Number Information
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NPI Number | 1568541175
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Entity Type | Organization
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Legal Business Name | GEMINI MEDICAL SUPPLY
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 08/27/2008
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Provider Practice Location Address
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Address Line | 2201 RAUL LONGORIA ST
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City | SAN JUAN
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State | TX
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Zip | 78589-4114
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Country | US
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Telephone | 956-283-0484
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Fax | 956-283-1446
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Provider Business Mailing Address
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Address Line | 2024 HAWK AVE
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City | MCALLEN
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State | TX
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Zip | 78504-3938
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Country | US
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Telephone | 956-668-9482
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | IDA SALINAS
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Credential |
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Telephone | 956-668-9482
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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 |
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