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General NPI Number Information
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NPI Number | 1699646745
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Entity Type | Organization
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Legal Business Name | JUAN PALACIOS LLC
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Dates
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Enumeration Date | 09/12/2025
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 7730 N PERRY ST
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City | BAYTOWN
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State | TX
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Zip | 77521-1077
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Country | US
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Telephone | 929-410-5754
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Fax |
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Provider Business Mailing Address
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Address Line | 215 GAGE DR STE J
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City | HOLLISTER
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State | MO
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Zip | 65672-4000
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Country | US
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Telephone | 929-410-5754
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JUAN PALACIOS
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Credential |
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Telephone | 929-410-5754
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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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