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General NPI Number Information
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NPI Number | 1770198483
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Entity Type | Organization
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Legal Business Name | EPMED, PA
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Dates
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Enumeration Date | 09/10/2020
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Last Update Date | 09/10/2020
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Provider Practice Location Address
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Address Line | 8810 LEBANON RD
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City | FRISCO
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State | TX
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Zip | 75034-8688
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Country | US
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Telephone | 469-294-0083
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Fax | 469-294-0084
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Provider Business Mailing Address
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Address Line | 3215 GATEWAY BLVD W
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City | EL PASO
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State | TX
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Zip | 79903-4225
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Country | US
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Telephone | 915-598-7246
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Fax | 915-633-6598
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Authorized Official
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Title or Position | CEO
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Name | EDUARDO GENARO VAZQUEZ
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Credential | MD
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Telephone | 915-598-7246
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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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