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General NPI Number Information
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NPI Number | 1255431425
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Entity Type | Organization
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Legal Business Name | TEXOMA MOBILITY, INC.
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 05/04/2009
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Provider Practice Location Address
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Address Line | 545 BURK HAWKINS ST STE B
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-5187
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Country | US
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Telephone | 972-775-4337
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Fax | 972-775-8580
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Provider Business Mailing Address
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Address Line | 61958 CARNATION RD
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City | OLATHE
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State | CO
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Zip | 81425-9588
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Country | US
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Telephone | 970-323-5942
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Fax | 970-323-5988
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. KATRINA LYNNE KRAUS
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Credential |
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Telephone | 970-323-5942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 0085075
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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 | 0085075
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License Number State | TX
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