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General NPI Number Information
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NPI Number | 1306659008
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Entity Type | Organization
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Legal Business Name | VITAL CARE MEDICAL SUPPLIES LLC
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 7700 FULTON ST STE 208
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City | HOUSTON
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State | TX
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Zip | 77022-3623
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Country | US
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Telephone | 872-330-6487
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Fax | 713-766-2821
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Provider Business Mailing Address
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Address Line | 7700 FULTON ST STE 208
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City | HOUSTON
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State | TX
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Zip | 77022-3623
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Country | US
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Telephone |
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Fax | 713-766-2821
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Authorized Official
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Title or Position | MANAGIG DIRECTOR
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Name | MOHAMMED SHAHRUKH
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Credential |
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Telephone | 872-330-6487
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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 |
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License Number State |
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