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General NPI Number Information
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NPI Number | 1760306294
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Entity Type | Organization
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Legal Business Name | CHAMPION DME
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 2409 ALCO AVE
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City | DALLAS
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State | TX
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Zip | 75211-2614
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Country | US
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Telephone | 469-935-6709
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Fax | 469-533-0421
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Provider Business Mailing Address
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Address Line | 1420 W MOCKINGBIRD LN STE 550
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City | DALLAS
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State | TX
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Zip | 75247-4973
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Country | US
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Telephone | 469-935-6709
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Fax | 469-533-0421
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | PAULINE SOTELO
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Credential |
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Telephone | 469-552-3649
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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 |
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