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General NPI Number Information
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NPI Number | 1952351884
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Entity Type | Organization
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Legal Business Name | ACTION-MED, INC
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11115 MILLS RD SUITE 106
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City | CYPRESS
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State | TX
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Zip | 77429-3036
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Country | US
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Telephone | 281-517-0129
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Fax | 281-517-0189
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Provider Business Mailing Address
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Address Line | 11115 MILLS RD SUITE 106
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City | CYPRESS
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State | TX
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Zip | 77429-3036
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Country | US
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Telephone | 281-517-0129
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Fax | 281-517-0189
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELIZABETH CUENCO
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Credential |
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Telephone | 281-517-0129
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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 | 0077205
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License Number State | TX
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