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General NPI Number Information
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NPI Number | 1780709030
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Entity Type | Organization
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Legal Business Name | CALIBERCARE MEDICAL SUPPLY LLC
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9902 CALICO PASS
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City | SAN ANTONIO
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State | TX
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Zip | 78254-6123
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Country | US
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Telephone | 210-618-2129
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Fax |
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Provider Business Mailing Address
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Address Line | 3453 N PANAM EXPY 104
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City | SAN ANTONIO
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State | TX
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Zip | 78219-2333
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Country | US
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Telephone | 210-212-2112
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Fax | 210-212-2332
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MIGUEL ZUBIATE JR.
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Credential |
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Telephone | 210-618-2129
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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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