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General NPI Number Information
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NPI Number | 1720406077
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Entity Type | Organization
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Legal Business Name | MIA CHRISTIAN AND AIDON ENTERPRISES LLC
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Dates
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Enumeration Date | 04/03/2014
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Last Update Date | 04/03/2014
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Provider Practice Location Address
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Address Line | 7034 SNOWFLAKE DR STE. 2
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City | SAN ANTONIO
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State | TX
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Zip | 78238-1466
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Country | US
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Telephone | 210-462-9400
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Fax | 210-462-9402
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Provider Business Mailing Address
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Address Line | 7034 SNOWFLAKE DR STE. 2
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City | SAN ANTONIO
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State | TX
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Zip | 78238-1466
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Country | US
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Telephone | 210-462-9400
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Fax | 210-462-9402
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Authorized Official
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Title or Position | OWNER
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Name | IGNACIO SALINAS
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Credential |
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Telephone | 21088501144
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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 | 3845
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License Number State | TX
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