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General NPI Number Information
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NPI Number | 1275639288
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Entity Type | Organization
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Legal Business Name | THE PROSTHETIC CENTER
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3000 RICHMOND AVE SUITE 100
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City | HOUSTON
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State | TX
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Zip | 77098-3102
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Country | US
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Telephone | 713-980-1698
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Fax | 713-980-1699
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Provider Business Mailing Address
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Address Line | 3000 RICHMOND AVE SUITE 100
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City | HOUSTON
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State | TX
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Zip | 77098-3102
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Country | US
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Telephone | 713-980-1698
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Fax | 713-980-1699
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Authorized Official
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Title or Position | PRACTITIONER/CEO
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Name | DR. RHONDA F TURNER
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Credential | CPO
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Telephone | 713-980-1698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 17
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License Number State | TX
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