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General NPI Number Information
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NPI Number | 1720196983
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Entity Type | Organization
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Legal Business Name | DUSARA CORPORATION
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 1329 W WALNUT HILL LN STE 100
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City | IRVING
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State | TX
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Zip | 75038-3027
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Country | US
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Telephone | 972-228-1820
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Fax | 972-572-1112
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Provider Business Mailing Address
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Address Line | 1329 W WALNUT HILL LN STE 100
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City | IRVING
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State | TX
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Zip | 75038-3027
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Country | US
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Telephone | 972-228-1820
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Fax | 972-572-1112
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Authorized Official
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Title or Position | VP OF OPERATIONS
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Name | MR. RAJESH B AMIN
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Credential |
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Telephone | 972-228-1820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA3000X
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Taxonomy Name | Augmentative Communication Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1000937
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License Number State | TX
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