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General NPI Number Information
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NPI Number | 1871617092
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Entity Type | Organization
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Legal Business Name | DALMEDICS INC
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 04/29/2010
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Provider Practice Location Address
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Address Line | 940 E BELT LINE RD SUITE 126
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City | RICHARDSON
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State | TX
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Zip | 75081-3745
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Country | US
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Telephone | 972-234-9555
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Fax | 972-234-2074
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Provider Business Mailing Address
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Address Line | PO BOX 744074
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City | DALLAS
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State | TX
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Zip | 75374-4074
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Country | US
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Telephone | 972-234-9555
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Fax | 972-234-2074
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JACK UZOMA DURUJI
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Credential |
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Telephone | 972-234-9555
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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 | 0059310
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License Number State | TX
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