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NPI 1720020035

NPI 1720020035 : RELIANCE MEDICAL, INC : ALPINE, TX

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General NPI Number Information
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    NPI Number           |    1720020035
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    Entity Type          |    Organization 
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    Legal Business Name  |    RELIANCE MEDICAL, INC 
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Dates
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    Enumeration Date     |    06/12/2006
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    Last Update Date     |    08/20/2024
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Provider Practice Location Address
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    Address Line         |    508 E AVENUE E 
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    City                 |    ALPINE
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    State                |    TX
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    Zip                  |    79830-4816
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    Country              |    US
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    Telephone            |    432-837-7455
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    Fax                  |    432-837-7455
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Provider Business Mailing Address
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    Address Line         |    149 N WILLIS ST STE 1 
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    City                 |    ABILENE
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    State                |    TX
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    Zip                  |    79603-6924
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    Country              |    US
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    Telephone            |    325-692-7443
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    Fax                  |    325-692-3566
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Authorized Official
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    Title or Position    |    VICE PRESIDENT
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    Name                 |     CAROLINA  OGANYAN 
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    Credential           |    
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    Telephone            |    972-346-1813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332BX2000X
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    Taxonomy Name        |    Oxygen Equipment & Supplies (DME)
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    License Number       |    0041243
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    License Number State |    TX
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