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General NPI Number Information
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NPI Number | 1851575179
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Entity Type | Organization
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Legal Business Name | ABC DURBALE MEDICAL EQUIPMENT, INC
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Dates
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Enumeration Date | 12/21/2007
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Last Update Date | 02/08/2012
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Provider Practice Location Address
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Address Line | 919 N SLABAUGH ST
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City | MISSION
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State | TX
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Zip | 78572-3728
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Country | US
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Telephone | 956-584-2775
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Fax |
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Provider Business Mailing Address
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Address Line | 919 N SLABAUGH ST
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City | MISSION
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State | TX
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Zip | 78572-3728
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Country | US
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Telephone | 956-584-2775
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | VERONICA S VELA
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Credential |
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Telephone | 956-584-2775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 0070727
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License Number State | TX
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