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General NPI Number Information
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NPI Number | 1639656119
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Entity Type | Organization
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Legal Business Name | RELIABLE DURABLE MEDICAL EQUIPMENT
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Dates
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Enumeration Date | 07/26/2018
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Last Update Date | 07/26/2018
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Provider Practice Location Address
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Address Line | 2821 W PARKER RD STE 3A
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City | PLANO
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State | TX
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Zip | 75023-7949
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Country | US
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Telephone | 214-263-6605
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Fax | 972-292-9935
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Provider Business Mailing Address
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Address Line | 2821 W PARKER RD STE 3A
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City | PLANO
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State | TX
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Zip | 75023-7949
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Country | US
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Telephone | 214-263-6605
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Fax | 972-292-9935
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SAMANTHA RENEE WILSON
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Credential |
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Telephone | 214-263-6605
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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 | 1002198
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License Number State | TX
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