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General NPI Number Information
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NPI Number | 1922354265
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Entity Type | Organization
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Legal Business Name | RZ MEDICAL SUPPLY
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Dates
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Enumeration Date | 07/24/2012
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Last Update Date | 07/24/2012
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Provider Practice Location Address
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Address Line | 4120 AVENUE Q
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City | LUBBOCK
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State | TX
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Zip | 79412-1643
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Country | US
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Telephone | 806-549-5429
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 65631
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City | LUBBOCK
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State | TX
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Zip | 79464-5631
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Country | US
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Telephone | 806-549-5429
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | MR. TYSON C ROWIN
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Credential |
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Telephone | 806-549-5429
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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 |
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License Number State |
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