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General NPI Number Information
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NPI Number | 1780810531
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Entity Type | Organization
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Legal Business Name | VISION DME, LLC
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Dates
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Enumeration Date | 06/08/2009
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Last Update Date | 06/08/2009
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Provider Practice Location Address
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Address Line | 700 E GRIFFIN PKWY SUITE # 113
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City | MISSION
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State | TX
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Zip | 78572-2939
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Country | US
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Telephone | 956-423-5424
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Fax | 956-423-0450
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Provider Business Mailing Address
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Address Line | 28212 BASS BLVD
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City | HARLINGEN
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State | TX
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Zip | 78552-6732
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Country | US
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Telephone | 956-423-5424
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Fax | 956-423-0450
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Authorized Official
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Title or Position | RN/DON/ADMINISTRATOR
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Name | MS. VISENTA C. HADDAD
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Credential | REGISTERED NURSE
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Telephone | 956-423-5424
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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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