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General NPI Number Information
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NPI Number | 1033487475
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Entity Type | Organization
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Legal Business Name | POLYSOM SERVICES
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Dates
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Enumeration Date | 12/13/2011
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Last Update Date | 12/13/2011
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Provider Practice Location Address
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Address Line | 3422 MEADOWLARK LN
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City | SPRING
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State | TX
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Zip | 77388-9330
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Country | US
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Telephone | 832-527-6289
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Fax |
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Provider Business Mailing Address
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Address Line | 3422 MEADOWLARK LN
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City | SPRING
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State | TX
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Zip | 77388-9330
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Country | US
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Telephone | 832-527-6289
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ENNIS DWIGHT OSTEEN II
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Credential | RPSGT
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Telephone | 832-303-1211
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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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