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General NPI Number Information
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NPI Number | 1346410958
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Entity Type | Organization
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Legal Business Name | OUSLEY'S LIMB AND BRACE COMPANY
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Dates
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Enumeration Date | 03/11/2008
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Last Update Date | 03/11/2008
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Provider Practice Location Address
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Address Line | 1017 SWANSON ST
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City | HOUSTON
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State | TX
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Zip | 77030-5011
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Country | US
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Telephone | 713-524-2813
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Fax | 713-795-4002
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Provider Business Mailing Address
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Address Line | PO BOX 20506
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City | HOUSTON
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State | TX
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Zip | 77225-0506
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Country | US
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Telephone | 713-524-2813
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Fax | 713-795-4002
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAYMOND F ALLEN
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Credential | C.O., L.O.
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Telephone | 713-524-2813
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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 | 000054
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License Number State | TX
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