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NPI 1710552690

NPI 1710552690 : BEST CHOICE MEDICAL SUPPLIES DME LLC : LAREDO, TX

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General NPI Number Information
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    NPI Number           |    1710552690
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    Entity Type          |    Organization 
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    Legal Business Name  |    BEST CHOICE MEDICAL SUPPLIES DME LLC 
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Dates
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    Enumeration Date     |    05/24/2021
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    Last Update Date     |    05/24/2021
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Provider Practice Location Address
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    Address Line         |    1111 FLORES AVE 
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    City                 |    LAREDO
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    State                |    TX
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    Zip                  |    78040-6324
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    Country              |    US
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    Telephone            |    956-615-4393
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1111 FLORES AVE 
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    City                 |    LAREDO
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    State                |    TX
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    Zip                  |    78040-6324
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    Country              |    US
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    Telephone            |    956-615-4393
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ASHLEY DILYLA CANTU 
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    Credential           |    
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    Telephone            |    956-615-4393
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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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