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General NPI Number Information
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NPI Number | 1972760544
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Entity Type | Organization
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Legal Business Name | GREATER PHYSICIAN CHOICE LLC
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 08/12/2014
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Provider Practice Location Address
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Address Line | 1880 NACOGDOCHES RD
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City | SAN ANTONIO
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State | TX
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Zip | 78209-2216
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Country | US
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Telephone | 210-547-0428
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Fax | 866-633-7144
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Provider Business Mailing Address
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Address Line | 1880 NACOGDOCHES RD
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City | SAN ANTONIO
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State | TX
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Zip | 78209-2216
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Country | US
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Telephone | 210-547-0428
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Fax | 866-633-7144
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | MR. ROY DAVID MORELAND
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Credential |
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Telephone | 210-547-0428
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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 |
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License Number State |
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