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General NPI Number Information
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NPI Number | 1568828473
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Entity Type | Organization
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Legal Business Name | TURQUOISE, LTD
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Dates
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Enumeration Date | 01/07/2016
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Last Update Date | 08/25/2016
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Provider Practice Location Address
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Address Line | 604 UNIVERSITY AVE
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City | LAS VEGAS
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State | NM
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Zip | 87701-4248
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Country | US
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Telephone | 505-425-6241
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Fax | 505-425-8510
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Provider Business Mailing Address
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Address Line | 115 S TRAVIS ST SUITE 308
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City | SHERMAN
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State | TX
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Zip | 75090-5990
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Country | US
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Telephone | 903-893-0677
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Fax | 903-893-3639
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Authorized Official
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Title or Position | VP & CFO
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Name | JOHN N STOGNER
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Credential |
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Telephone | 903-893-0677
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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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