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General NPI Number Information
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NPI Number | 1942487608
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Entity Type | Organization
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Legal Business Name | ESCOBEDO DME INC.
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Dates
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Enumeration Date | 01/24/2008
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 4430 E 14TH ST STE E
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City | BROWNSVILLE
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State | TX
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Zip | 78521-3240
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Country | US
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Telephone | 956-504-6762
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Fax |
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Provider Business Mailing Address
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Address Line | 1205 SANTA ANA AVE
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City | RANCHO VIEJO
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State | TX
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Zip | 78575-9755
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Country | US
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Telephone | 956-350-5185
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSEPHAT ESCOBEDO
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Credential | RPH
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Telephone | 956-504-6762
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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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Taxonomy #2
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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 | TX
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