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General NPI Number Information
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NPI Number | 1922230424
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Entity Type | Organization
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Legal Business Name | HILLSIDE MEDICAL EQUIPMENT, LLC
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Dates
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Enumeration Date | 08/17/2009
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Last Update Date | 05/07/2010
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Provider Practice Location Address
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Address Line | 2050 TRAWOOD DR STE 14 B
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City | EL PASO
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State | TX
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Zip | 79935-3513
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Country | US
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Telephone | 915-593-1500
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Fax | 915-593-1501
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Provider Business Mailing Address
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Address Line | 2050 TRAWOOD DR STE 14B
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City | EL PASO
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State | TX
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Zip | 79935-3511
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Country | US
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Telephone | 915-593-1500
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Fax | 915-593-1501
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. HILARIO GUZMAN JR.
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Credential |
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Telephone | 915-593-1500
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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 | 1000114
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License Number State | TX
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