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General NPI Number Information
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NPI Number | 1154507531
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Entity Type | Organization
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Legal Business Name | GREATER HOUSTON ORHTOPEDIC & MEDICAL SUPPLY, LLC
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Dates
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Enumeration Date | 01/15/2008
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Last Update Date | 03/30/2009
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Provider Practice Location Address
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Address Line | 701 N POST OAK RD STE. 309
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City | HOUSTON
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State | TX
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Zip | 77024-3839
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Country | US
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Telephone | 713-449-2270
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Fax |
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Provider Business Mailing Address
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Address Line | 701 N POST OAK RD STE. 309
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City | HOUSTON
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State | TX
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Zip | 77024-3839
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Country | US
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Telephone | 713-850-8860
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROBERT E FLANNIGAN
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Credential |
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Telephone | 713-449-2270
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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 | 0100231
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License Number State | TX
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