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General NPI Number Information
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NPI Number | 1801697420
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Entity Type | Organization
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Legal Business Name | BIG HEARTS MD DISTRIBUTOR, LLC
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 5581 W HIGHWAY 34
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City | ENNIS
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State | TX
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Zip | 75119-1092
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Country | US
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Telephone | 972-923-4761
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Fax |
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Provider Business Mailing Address
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Address Line | 5581 W HIGHWAY 34
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City | ENNIS
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State | TX
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Zip | 75119-1092
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Country | US
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Telephone | 972-923-4761
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SHELIA SHEILA LOYD
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Credential |
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Telephone | 214-980-2479
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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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