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General NPI Number Information
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NPI Number | 1053303586
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Entity Type | Organization
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Legal Business Name | BACK TO BACK MEDICAL EQUIPMENT DIST
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6440 HILLCROFT ST 6440 HILLCROFT AVE STE #112
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City | HOUSTON
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State | TX
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Zip | 77081-3104
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Country | US
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Telephone | 713-270-6403
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Fax | 713-270-6860
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Provider Business Mailing Address
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Address Line | 6440 HILLCROFT ST 6440 HILLCROFT AVE STE #112
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City | HOUSTON
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State | TX
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Zip | 77081-3104
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Country | US
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Telephone | 713-270-6403
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Fax | 713-270-6860
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Authorized Official
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Title or Position | OWNER
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Name | MS. PATRICIA ANN THOMAS II
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Credential |
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Telephone | 713-270-6403
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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 | 0075614
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License Number State | TX
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