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General NPI Number Information
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NPI Number | 1710257894
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Entity Type | Organization
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Legal Business Name | ALLIANCE DME, LLC
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Dates
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Enumeration Date | 01/06/2012
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Last Update Date | 04/10/2012
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Provider Practice Location Address
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Address Line | 9535 FOREST LN SUITE # 100A
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City | DALLAS
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State | TX
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Zip | 75243-5900
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Country | US
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Telephone | 972-733-0392
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Fax | 972-733-0997
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Provider Business Mailing Address
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Address Line | 9535 FOREST LN SUITE # 100A
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City | DALLAS
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State | TX
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Zip | 75243-5900
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Country | US
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Telephone | 972-733-0392
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Fax | 972-733-0997
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. JAMES D BUCK
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Credential | OWNER
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Telephone | 972-733-0392
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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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