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General NPI Number Information
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NPI Number | 1770409377
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Entity Type | Organization
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Legal Business Name | MCD MEDICAL DEVICES AND SUPPLIES LLC
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 2580 W CAMP WISDOM RD # 100-178
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City | GRAND PRAIRIE
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State | TX
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Zip | 75052-3088
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Country | US
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Telephone | 214-625-9018
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Fax | 817-977-7390
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Provider Business Mailing Address
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Address Line | 3120 SOUTHWEST FWY STE 101
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City | HOUSTON
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State | TX
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Zip | 77098-4520
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Country | US
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Telephone | 214-625-9018
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MARIA MELISSA TARIN
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Credential |
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Telephone | 214-625-9018
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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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