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General NPI Number Information
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NPI Number | 1639038904
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Entity Type | Organization
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Legal Business Name | ZENVION MEDICAL LLC
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 100 N KIMBALL AVE STE 106
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City | SOUTHLAKE
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State | TX
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Zip | 76092-8027
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Country | US
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Telephone | 512-525-7860
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Fax |
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Provider Business Mailing Address
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Address Line | 200 N KIMBALL AVE STE 221
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City | SOUTHLAKE
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State | TX
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Zip | 76092-6660
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Country | US
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Telephone | 307-459-0562
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Fax | 214-292-9630
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | BRANDI ELDRIDGE
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Credential |
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Telephone | 512-525-7860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BD1200X
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Taxonomy Name | Dialysis Equipment & Supplies (DME)
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License Number |
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License Number State |
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