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General NPI Number Information
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NPI Number | 1780877209
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Entity Type | Organization
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Legal Business Name | A & Y MEDICAL SUPPLY, LLC
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Dates
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Enumeration Date | 08/20/2007
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Last Update Date | 10/10/2011
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Provider Practice Location Address
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Address Line | 118 W MALL DR
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City | CORSICANA
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State | TX
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Zip | 75110-3164
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Country | US
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Telephone | 903-872-0210
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Fax | 903-872-0310
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Provider Business Mailing Address
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Address Line | PO BOX 555
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City | MALAKOFF
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State | TX
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Zip | 75148-0555
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Country | US
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Telephone | 903-872-0210
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Fax | 903-872-0310
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CAROL L YAGER
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Credential |
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Telephone | 903-489-2043
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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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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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