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General NPI Number Information
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NPI Number | 1821638222
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Entity Type | Organization
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Legal Business Name | MONARCH MEDICAL LLC
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Dates
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Enumeration Date | 01/14/2020
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Last Update Date | 07/20/2020
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Provider Practice Location Address
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Address Line | 9900 SPECTRUM DR
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City | AUSTIN
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State | TX
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Zip | 78717-4555
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Country | US
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Telephone | 888-712-0146
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Fax |
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Provider Business Mailing Address
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Address Line | 4007 MCCULLOUGH AVE STE 438
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City | SAN ANTONIO
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State | TX
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Zip | 78212-2420
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Country | US
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Telephone | 215-622-1180
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Fax | 210-783-8699
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Authorized Official
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Title or Position | COO
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Name | RYAN DENNER
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Credential |
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Telephone | 888-712-0146
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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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