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General NPI Number Information
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NPI Number | 1790843696
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Entity Type | Organization
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Legal Business Name | BEXAR DURABLE MEDICAL EQUIPMENT
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 02/05/2008
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Provider Practice Location Address
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Address Line | 5020 SEGUIN RD 3
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City | SAN ANTONIO
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State | TX
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Zip | 78219-1001
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Country | US
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Telephone | 210-822-3048
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Fax | 210-822-3587
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Provider Business Mailing Address
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Address Line | 5020 SEQUIN RD 3
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City | SAN ANTONIO
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State | TX
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Zip | 78219-1016
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Country | US
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Telephone | 210-822-3048
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Fax | 210-822-3587
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Authorized Official
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Title or Position | CEO
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Name | MR. ROBERT H ROMERO
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Credential |
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Telephone | 210-822-3048
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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 | 0076226
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License Number State | TX
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