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General NPI Number Information
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NPI Number | 1982909826
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Entity Type | Organization
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Legal Business Name | EVAL'S INCONTINENCE AND DME
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Dates
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Enumeration Date | 01/25/2011
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Last Update Date | 01/25/2011
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Provider Practice Location Address
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Address Line | 6209 KINGS BRIDGE DR
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City | EL PASO
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State | TX
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Zip | 79934-3021
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Country | US
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Telephone | 915-822-1491
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Fax |
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Provider Business Mailing Address
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Address Line | 6209 KINGS BRIDGE DR
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City | EL PASO
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State | TX
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Zip | 79934-3021
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Country | US
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Telephone | 915-822-1491
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. EDWARD JAMES VALDEZ
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Credential |
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Telephone | 915-822-1491
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State | TX
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