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NPI 1316589773

NPI 1316589773 : GLOBAL WAVE EXPRESS : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1316589773
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    Entity Type          |    Organization 
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    Legal Business Name  |    GLOBAL WAVE EXPRESS 
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Dates
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    Enumeration Date     |    10/16/2019
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    Last Update Date     |    10/16/2019
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Provider Practice Location Address
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    Address Line         |    9800 CENTRE PKWY 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77036-8271
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    Country              |    US
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    Telephone            |    210-550-0025
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    28726 FINKE GORGE DR 
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    City                 |    KATY
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    State                |    TX
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    Zip                  |    77494-6281
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    Country              |    US
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    Telephone            |    832-952-7111
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGING PRINCIPAL
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    Name                 |     ABAYOMI ALLEN TAIWO 
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    Credential           |    
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    Telephone            |    832-952-7111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    343800000X
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    Taxonomy Name        |    Secured Medical Transport (VAN)
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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        |    343900000X
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    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
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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        |    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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