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General NPI Number Information
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NPI Number | 1992962062
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Entity Type | Organization
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Legal Business Name | A Z VYTTEL MEDICAL SUPPLIES LLC
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Dates
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Enumeration Date | 05/17/2008
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Last Update Date | 05/17/2008
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Provider Practice Location Address
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Address Line | 3201 I-30 SUITE B-2
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City | MESQUITE
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State | TX
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Zip | 75150-2605
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Country | US
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Telephone | 972-698-8822
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Fax | 972-698-8836
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Provider Business Mailing Address
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Address Line | PO BOX 870017
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City | MESQUITE
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State | TX
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Zip | 75187-0017
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Country | US
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Telephone | 972-698-8822
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Fax | 972-698-8836
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PROMISE NDU ARINZE
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Credential |
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Telephone | 469-855-1054
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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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