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General NPI Number Information
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NPI Number | 1831183706
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Entity Type | Organization
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Legal Business Name | CHOICE MEDICAL SUPPLY INC
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Dates
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Enumeration Date | 09/07/2005
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 101 S PARK DR STE D
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City | BROWNWOOD
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State | TX
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Zip | 76801-5959
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Country | US
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Telephone | 325-641-9411
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Fax | 325-641-9512
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Provider Business Mailing Address
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Address Line | 17 WINDMILL CIR
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City | ABILENE
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State | TX
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Zip | 79606-5234
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Country | US
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Telephone | 325-677-2250
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Fax | 325-677-2124
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | J'LYNN ADAMS
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Credential |
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Telephone | 325-677-2250
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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 | 14059
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0065657
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License Number State | TX
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