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General NPI Number Information
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NPI Number | 1972658102
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Entity Type | Organization
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Legal Business Name | VISTA HILLS MEDICAL EQUIPMENT CORP.
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 10/13/2010
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Provider Practice Location Address
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Address Line | 1721 N LEE TREVINO DR SUITE 101A
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City | EL PASO
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State | TX
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Zip | 79936-4521
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Country | US
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Telephone | 915-592-7976
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Fax | 915-592-3555
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Provider Business Mailing Address
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Address Line | 1721 N LEE TREVINO DR SUITE 101A
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City | EL PASO
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State | TX
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Zip | 79936-4521
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Country | US
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Telephone | 915-592-7976
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Fax | 915-592-3555
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GEORGE FERNANDEZ
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Credential | CFO
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Telephone | 915-494-5027
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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 | 0053948
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License Number State | TX
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