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General NPI Number Information
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NPI Number | 1871586024
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Entity Type | Organization
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Legal Business Name | PRESCRIPTION MEDICAL EQUIPMENT & SUPPLIES INC
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 02/04/2009
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Provider Practice Location Address
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Address Line | 1019 DALWORTH DRIVE
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City | MESQUITE
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State | TX
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Zip | 75149-4149
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Country | US
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Telephone | 972-288-2332
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Fax | 972-288-2321
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Provider Business Mailing Address
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Address Line | 1019 DALWORTH DRIVE
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City | MESQUITE
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State | TX
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Zip | 75149-4149
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Country | US
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Telephone | 972-288-2332
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Fax | 972-288-2321
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ARNEL PAGALILAUAN QUINAGORAN
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Credential |
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Telephone | 972-288-2332
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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 | 0075116
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License Number State | TX
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