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General NPI Number Information
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NPI Number | 1720132996
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Entity Type | Organization
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Legal Business Name | FIRMA MEDICAL, LP
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 01/26/2011
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Provider Practice Location Address
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Address Line | 99 REGENCY PKWY SUITE 203
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City | MANSFIELD
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State | TX
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Zip | 76063-7817
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Country | US
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Telephone | 817-473-7473
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Fax | 817-473-9639
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Provider Business Mailing Address
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Address Line | 99 REGENCY PKWY SUITE 203
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City | MANSFIELD
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State | TX
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Zip | 76063-7817
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Country | US
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Telephone | 817-473-7473
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Fax | 817-473-9639
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | WANDA K KINNISON
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Credential |
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Telephone | 817-473-7473
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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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