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General NPI Number Information
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NPI Number | 1750435319
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Entity Type | Organization
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Legal Business Name | A AND C MEDICAL SUPPLIES LLC
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 02/16/2012
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Provider Practice Location Address
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Address Line | 2017 E GRIFFIN PKWY STE A
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City | MISSION
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State | TX
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Zip | 78572-3222
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Country | US
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Telephone | 956-581-0543
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Fax |
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Provider Business Mailing Address
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Address Line | 2017 E GRIFFIN PKWY STE A
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City | MISSION
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State | TX
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Zip | 78572-3222
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Country | US
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Telephone | 956-581-0543
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | YURIDIA ALVAREZ
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Credential |
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Telephone | 956-581-0543
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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 | 14156
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License Number State | TX
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