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General NPI Number Information
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NPI Number | 1851614242
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Entity Type | Organization
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Legal Business Name | FRESCAS MEDICAL SUPPLIES LLC
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Dates
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Enumeration Date | 03/12/2010
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Last Update Date | 10/12/2010
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Provider Practice Location Address
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Address Line | 509 GILES ROAD SUITE C
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City | EL PASO
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State | TX
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Zip | 79915-2725
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Country | US
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Telephone | 915-599-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 509 GILES ROAD STE C
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City | EL PASO
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State | TX
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Zip | 79915-2725
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Country | US
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Telephone | 915-595-3941
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ OWNER
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Name | MRS. ROSINA FRESCAS
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Credential |
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Telephone | 915-595-3941
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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 |
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License Number State |
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