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General NPI Number Information
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NPI Number | 1962681387
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Entity Type | Organization
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Legal Business Name | GALENO DME
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Dates
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Enumeration Date | 11/01/2007
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Last Update Date | 11/01/2007
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Provider Practice Location Address
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Address Line | 3150 INTERNATIONAL BLVD
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City | BROWNSVILLE
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State | TX
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Zip | 78521-3214
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Country | US
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Telephone | 956-545-4876
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Fax |
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Provider Business Mailing Address
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Address Line | 3150 INTERNATIONAL BLVD
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City | BROWNSVILLE
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State | TX
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Zip | 78521-3214
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Country | US
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Telephone | 956-545-4876
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Fax |
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | MR. EMMANUEL GONZALEZ
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Credential |
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Telephone | 956-545-4876
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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 | 32034051956
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License Number State | TX
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