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General NPI Number Information
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NPI Number | 1851622583
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Entity Type | Organization
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Legal Business Name | A-1 MEDICAL SUPPLIES & MORE,LLC
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Dates
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Enumeration Date | 01/20/2010
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Last Update Date | 09/24/2010
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Provider Practice Location Address
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Address Line | 517 SHILOH DR BLDG. 2 STE. 1
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City | LAREDO
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State | TX
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Zip | 78045-6722
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Country | US
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Telephone | 956-727-4000
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Fax | 956-727-4002
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Provider Business Mailing Address
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Address Line | 517 SHILOH DR. BLDG. 2 STE. 1
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City | LAREDO
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State | TX
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Zip | 78045-6722
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Country | US
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Telephone | 956-727-4000
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Fax | 956-727-4002
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Authorized Official
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Title or Position | OWNER
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Name | JUAN CARLOS GOMEZ
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Credential |
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Telephone | 956-727-4000
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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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