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General NPI Number Information
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NPI Number | 1295629764
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Entity Type | Organization
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Legal Business Name | EDDIE REALTY SERVICES LLC
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Dates
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Enumeration Date | 06/07/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 13215 HIRAM CLARKE RD
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City | HOUSTON
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State | TX
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Zip | 77045-3303
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Country | US
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Telephone | 281-800-0059
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Fax |
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Provider Business Mailing Address
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Address Line | 4103 MILL LN
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City | MISSOURI CITY
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State | TX
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Zip | 77459-4666
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Country | US
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Telephone | 281-831-3080
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EDDIE PARKER
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Credential |
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Telephone | 281-800-0059
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171WV0202X
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Taxonomy Name | Vehicle Modifications Contractor
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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 | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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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 | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #6
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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 #7
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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