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General NPI Number Information
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NPI Number | 1609014208
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Entity Type | Organization
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Legal Business Name | KIDS DME, INC.
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Dates
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Enumeration Date | 02/04/2009
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 2102 W TEEGE AVE STE G
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City | HARLINGEN
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State | TX
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Zip | 78550-4667
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Country | US
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Telephone | 956-554-4900
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Fax | 956-554-3525
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Provider Business Mailing Address
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Address Line | 2102 W TEEGE AVE STE G
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City | HARLINGEN
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State | TX
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Zip | 78550-4667
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Country | US
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Telephone | 956-554-4900
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Fax | 956-554-3525
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Authorized Official
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Title or Position | RN AND ADMINISTRATOR
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Name | MR. ANTONIO ALVIAR II
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Credential | RN
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Telephone | 956-554-4900
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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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