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General NPI Number Information
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NPI Number | 1093770935
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Entity Type | Organization
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Legal Business Name | LAWRENCE S ELLIOTT DBA MEDQUIP
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 05/17/2010
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Provider Practice Location Address
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Address Line | 3510 OAK FOREST DR
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City | HOUSTON
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State | TX
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Zip | 77018
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Country | US
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Telephone | 832-467-3574
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Fax | 281-477-0203
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Provider Business Mailing Address
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Address Line | 3510 OAK FOREST DR
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City | HOUSTON
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State | TX
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Zip | 77018
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Country | US
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Telephone | 832-467-3574
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Fax | 281-477-0203
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Authorized Official
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Title or Position | OWNER
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Name | MR. LAWRENCE S ELLIOTT
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Credential |
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Telephone | 832-467-3574
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 0046063
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0046063
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License Number State | TX
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