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General NPI Number Information
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NPI Number | 1760517791
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Entity Type | Organization
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Legal Business Name | DURA MED, INC.
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 306 RANCH ROAD 2900
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City | KINGSLAND
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State | TX
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Zip | 78639-6063
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Country | US
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Telephone | 325-247-4155
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 40
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City | BURNET
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State | TX
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Zip | 78611-0040
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID HUMPHRIES
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Credential |
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Telephone | 512-756-8550
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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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