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General NPI Number Information
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NPI Number | 1972666543
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Entity Type | Organization
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Legal Business Name | SIENNA MARKETING LLC
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 10/02/2012
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Provider Practice Location Address
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Address Line | 15330 LBJ FWY SUITE 101
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City | MESQUITE
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State | TX
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Zip | 75150-1223
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Country | US
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Telephone | 972-889-1116
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Fax | 972-889-1122
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Provider Business Mailing Address
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Address Line | 15330 LBJ FWY SUITE 101
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City | MESQUITE
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State | TX
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Zip | 75150-1223
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Country | US
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Telephone | 972-889-1116
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Fax | 972-889-1122
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. DEBBIE L KOVAR
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Credential |
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Telephone | 972-889-1116
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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 | 0080409
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License Number State | TX
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