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General NPI Number Information
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NPI Number | 1952514101
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Entity Type | Organization
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Legal Business Name | AUSTIN EXCLUSIVE MEDICAL SUPPLIES, L.L.C.
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 08/04/2016
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Provider Practice Location Address
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Address Line | 5900 SOUTHWEST PKWY BUILDING 2, SUITE 206
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City | AUSTIN
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State | TX
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Zip | 78735-6202
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Country | US
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Telephone | 512-288-8532
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Fax | 512-288-8533
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Provider Business Mailing Address
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Address Line | PO BOX 90907
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City | AUSTIN
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State | TX
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Zip | 78709-0907
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Country | US
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Telephone | 512-288-8532
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Fax | 512-288-8533
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | MRS. ELIZABETH MARGARET SMITH
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Credential |
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Telephone | 512-288-8532
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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 | 0073674
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License Number State | TX
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