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General NPI Number Information
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NPI Number | 1023177466
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Entity Type | Organization
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Legal Business Name | MED SHOP PLUS, INC.
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 07/23/2019
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Provider Practice Location Address
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Address Line | 11585 FM 1960 RD W
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City | HOUSTON
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State | TX
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Zip | 77065-3607
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Country | US
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Telephone | 281-469-4032
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Fax | 281-477-6801
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Provider Business Mailing Address
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Address Line | 11585 FM 1960 RD W
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City | HOUSTON
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State | TX
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Zip | 77065-3607
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Country | US
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Telephone | 281-469-4032
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Fax | 281-477-6801
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHARLES W CHIAMPI
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Credential |
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Telephone | 281-469-4032
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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 | 0040223
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License Number State | TX
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