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General NPI Number Information
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NPI Number | 1720914302
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Entity Type | Organization
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Legal Business Name | RMDA, LLC D/B/A BENJAMIN HAIR & CO.
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Dates
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Enumeration Date | 06/22/2026
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 427 N LOOP 1604 W STE 103
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1032
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Country | US
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Telephone | 210-349-5215
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Fax |
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Provider Business Mailing Address
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Address Line | 427 N LOOP 1604 W STE 103
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1032
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Country | US
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Telephone | 210-349-5215
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DESIREE DEMBECK
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Credential |
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Telephone | 210-349-5215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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Taxonomy #3
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Taxonomy Code | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number |
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License Number State |
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