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General NPI Number Information
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NPI Number | 1336543941
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Entity Type | Organization
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Legal Business Name | MOTHERS NATURE
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Dates
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Enumeration Date | 10/11/2014
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Last Update Date | 10/27/2014
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Provider Practice Location Address
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Address Line | 13738 STABLEDON DR
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City | HOUSTON
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State | TX
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Zip | 77014-2149
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Country | US
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Telephone | 281-893-0016
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 90697
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City | HOUSTON
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State | TX
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Zip | 77290-0697
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Country | US
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Telephone |
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Fax | 877-896-9989
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Authorized Official
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Title or Position | FOUNDER & PRESIDENT
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Name | LATRECIA WILLIAMS
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Credential | CHAA
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Telephone | 281-893-0016
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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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