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General NPI Number Information
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NPI Number | 1144229071
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Entity Type | Organization
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Legal Business Name | CARSON H, INC.
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Dates
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Enumeration Date | 07/21/2005
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Last Update Date | 03/28/2008
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Provider Practice Location Address
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Address Line | 2515 CALDER ST
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City | BEAUMONT
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State | TX
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Zip | 77702-1915
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Country | US
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Telephone | 409-833-5900
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Fax | 409-833-2509
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Provider Business Mailing Address
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Address Line | 2515 CALDER ST
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City | BEAUMONT
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State | TX
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Zip | 77702-1915
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Country | US
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Telephone | 409-833-5900
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Fax | 409-833-2509
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Authorized Official
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Title or Position | VICE- PRESIDENT
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Name | MR. CARL B HEACKER
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Credential |
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Telephone | 409-833-5900
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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 | 0066497
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | TX0011006
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License Number State | TX
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