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General NPI Number Information
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NPI Number | 1861937468
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Entity Type | Organization
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Legal Business Name | AMERICA FIRST MEDICAL EQUIPMENT
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Dates
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Enumeration Date | 01/05/2017
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Last Update Date | 01/05/2017
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Provider Practice Location Address
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Address Line | 5130 S PECOS RD STE 2A
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City | LAS VEGAS
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State | NV
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Zip | 89120-1248
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Country | US
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Telephone | 702-444-9098
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Fax |
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Provider Business Mailing Address
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Address Line | 5130 S PECOS RD STE 2A
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City | LAS VEGAS
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State | NV
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Zip | 89120-1248
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Country | US
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Telephone | 702-444-9098
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | REBECCA GANDARA
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Credential | CNA
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Telephone | 702-444-9098
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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 | 2000555.320
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License Number State | NV
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