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General NPI Number Information
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NPI Number | 1699952283
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Entity Type | Organization
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Legal Business Name | TEXAS MEDICAL SUPPLY
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Dates
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Enumeration Date | 01/25/2008
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Last Update Date | 09/25/2008
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Provider Practice Location Address
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Address Line | 4933 MARKETPLACE DR
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City | GARLAND
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State | TX
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Zip | 75043-5013
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Country | US
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Telephone | 972-681-5661
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Fax | 972-681-1103
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Provider Business Mailing Address
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Address Line | PO BOX 1356 LAKE DALLAS
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City | LAKE DALLAS
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State | TX
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Zip | 75065-1356
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Country | US
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Telephone | 972-681-5661
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Fax | 972-681-1103
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Authorized Official
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Title or Position | OWNER
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Name | MR. SYLVESTER FRANCIS AFIA SR.
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Credential | DME
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Telephone | 972-681-5661
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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 | TX12480
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0070370
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License Number State | TX
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