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General NPI Number Information
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NPI Number | 1720196660
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Entity Type | Organization
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Legal Business Name | BIO-TECH MEDICAL SUPPLY
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 11/27/2007
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Provider Practice Location Address
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Address Line | 8035 E R L THORNTON FWY SUITE # 117
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City | DALLAS
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State | TX
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Zip | 75228-7018
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Country | US
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Telephone | 214-662-0887
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Fax | 972-692-9920
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Provider Business Mailing Address
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Address Line | PO BOX 851111
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City | MESQUITE
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State | TX
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Zip | 75185-1111
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Country | US
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Telephone | 214-662-0887
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Fax | 972-692-9920
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Authorized Official
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Title or Position | CEO
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Name | MR. JESTY MEPRATHU VARUGHESE
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Credential |
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Telephone | 214-662-0887
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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 | 90059
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License Number State | TX
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