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General NPI Number Information
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NPI Number | 1881610657
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Entity Type | Organization
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Legal Business Name | RCDC INC,
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 05/03/2011
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Provider Practice Location Address
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Address Line | 1715 CAPITOL AVE
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City | SAN ANTONIO
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State | TX
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Zip | 78201-4643
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Country | US
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Telephone | 210-733-7887
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Fax | 210-734-5993
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Provider Business Mailing Address
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Address Line | 1715 CAPITOL AVE
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City | SAN ANTONIO
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State | TX
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Zip | 78201-4643
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Country | US
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Telephone | 210-733-7887
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Fax | 210-734-5993
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. ROLAND PEREZ PENA
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Credential | B.S., R.C.P
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Telephone | 210-733-7887
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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 | 332BX2000X
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License Number State | TX
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