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General NPI Number Information
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NPI Number | 1821012444
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Entity Type | Organization
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Legal Business Name | ACCUCARE QUALITY MEDICAL PRODUCTS INC
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 01/14/2010
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Provider Practice Location Address
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Address Line | 1530 SPRINGHILL RD SUITE A
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City | JASPER
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State | TX
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Zip | 75951-9793
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Country | US
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Telephone | 409-384-1188
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Fax | 409-384-1199
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Provider Business Mailing Address
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Address Line | PO BOX 1990
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City | JASPER
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State | TX
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Zip | 75951-0021
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Country | US
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Telephone | 409-384-1188
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Fax | 409-384-1199
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Authorized Official
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Title or Position | ADMIN DIRECTOR
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Name | MRS. DEENA KAY MOONEY
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Credential |
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Telephone | 409-384-1188
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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 | 0070704
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License Number State | TX
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