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General NPI Number Information
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NPI Number | 1710247960
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Entity Type | Organization
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Legal Business Name | GIBCO SERVICE INC.
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Dates
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Enumeration Date | 05/22/2012
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Last Update Date | 05/22/2012
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Provider Practice Location Address
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Address Line | 2520 CLIMER CIR
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City | AMARILLO
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State | TX
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Zip | 79124-2319
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Country | US
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Telephone | 806-374-3661
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Fax | 806-374-1463
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Provider Business Mailing Address
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Address Line | 2520 CLIMER CIR
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City | AMARILLO
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State | TX
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Zip | 79124-2319
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Country | US
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Telephone | 806-374-3661
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Fax | 806-374-1463
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES CALVIN GIBBS
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Credential |
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Telephone | 806-374-3661
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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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