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General NPI Number Information
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NPI Number | 1053653550
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Entity Type | Organization
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Legal Business Name | BEST ORTHOPEDIC SPECIALTY SERVICES
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Dates
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Enumeration Date | 03/22/2013
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Last Update Date | 03/22/2013
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Provider Practice Location Address
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Address Line | 1300 CASTLE CT
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City | HOUSTON
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State | TX
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Zip | 77006-5702
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Country | US
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Telephone | 210-859-5438
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 667090
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City | HOUSTON
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State | TX
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Zip | 77266-7090
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Country | US
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Telephone | 210-859-5438
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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. EDGAR FRAGOSO
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Credential | LSA, OPA-C
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Telephone | 210-859-5438
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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 | 1001051
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License Number State | TX
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