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General NPI Number Information
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NPI Number | 1780618744
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Entity Type | Organization
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Legal Business Name | ACCESSIBLE HEALTHCARE PROVIDERS, INC.
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7005 PASTOR BAILEY DR STE 101-A
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City | DALLAS
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State | TX
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Zip | 75237-2649
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Country | US
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Telephone | 972-780-0118
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Fax | 972-780-0491
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Provider Business Mailing Address
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Address Line | 3225 TURTLE CREEK BLVD APT#326
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City | DALLAS
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State | TX
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Zip | 75219-5400
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Country | US
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Telephone | 214-559-0631
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SAMUEL LAMONT JERIDEAU
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Credential |
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Telephone | 972-780-0118
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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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