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General NPI Number Information
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NPI Number | 1770619405
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Entity Type | Organization
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Legal Business Name | WEBB KOHLER MEDICAL EQUIPMENT AND SUPPLY
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 12/21/2007
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Provider Practice Location Address
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Address Line | 2204 PARK SPRINGS BLVD
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City | ARLINGTON
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State | TX
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Zip | 76013
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Country | US
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Telephone | 817-861-4631
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Fax | 817-861-4638
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Provider Business Mailing Address
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Address Line | PO BOX 173189
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City | ARLINGTON
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State | TX
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Zip | 76013-3189
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Country | US
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Telephone | 817-861-4631
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Fax | 817-861-4638
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Authorized Official
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Title or Position | CEO PIC
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Name | MS. PAULETTE MARIE SALVANT
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Credential | RPH
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Telephone | 817-861-4631
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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 | 0040686
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License Number State | TX
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