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General NPI Number Information
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NPI Number | 1669464749
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Entity Type | Organization
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Legal Business Name | EDIMAX MEDICAL RESOURCE
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 07/11/2008
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Provider Practice Location Address
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Address Line | 3228 SOUTHERN DR SUITE 204-D
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City | GARLAND
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State | TX
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Zip | 75043-1579
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Country | US
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Telephone | 972-278-4440
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Fax | 972-926-9574
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Provider Business Mailing Address
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Address Line | 3228 SOUTHERN DR SUITE 204-D
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City | GARLAND
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State | TX
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Zip | 75043-1579
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Country | US
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Telephone | 972-278-4440
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Fax | 972-926-9574
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | JOSEPH O ESIN
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Credential |
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Telephone | 972-278-4440
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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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