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General NPI Number Information
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NPI Number | 1619786274
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Entity Type | Organization
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Legal Business Name | MID-CITIES HOME MEDICAL DELIVERY SERVICES,LLC
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 3017 RED HAWK DR
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City | GRAND PRAIRIE
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State | TX
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Zip | 75052-7634
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Country | US
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Telephone | 972-249-7585
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Fax | 866-273-7456
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Provider Business Mailing Address
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Address Line | 3017 RED HAWK DR
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City | GRAND PRAIRIE
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State | TX
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Zip | 75052-7634
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Country | US
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Telephone | 972-249-7585
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Fax | 866-273-7456
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Authorized Official
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Title or Position | CEO
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Name | TRACY REEP
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Credential |
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Telephone | 972-249-7585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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