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General NPI Number Information
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NPI Number | 1730589359
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Entity Type | Organization
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Legal Business Name | ANDREACO INVESTMENT INC.
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Dates
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Enumeration Date | 09/02/2014
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Last Update Date | 09/02/2014
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Provider Practice Location Address
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Address Line | 2210 N VETERANS BLVD STE. 120
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City | EAGLE PASS
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State | TX
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Zip | 78852-6458
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Country | US
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Telephone | 830-968-7740
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Fax | 830-757-9002
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Provider Business Mailing Address
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Address Line | 2210 N VETERANS BLVD STE. 120
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City | EAGLE PASS
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State | TX
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Zip | 78852-6458
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Country | US
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Telephone | 830-968-7740
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Fax | 830-757-9002
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARIO ALBERTO DIAZ
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Credential |
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Telephone | 830-968-7740
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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 | TX
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