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General NPI Number Information
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NPI Number | 1356149652
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Entity Type | Organization
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Legal Business Name | KATY ORTHO SUPPLIES LLC
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 4800 W 34TH ST STE C50K
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City | HOUSTON
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State | TX
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Zip | 77092-6663
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Country | US
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Telephone | 346-470-4993
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Fax | 437-836-9717
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Provider Business Mailing Address
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Address Line | 14222 KIMBERLEY LN APT 467
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City | HOUSTON
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State | TX
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Zip | 77079-4820
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Country | US
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Telephone | 346-470-4993
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Fax | 437-836-9717
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Authorized Official
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Title or Position | CEO
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Name | VICTOR JEROME LEE
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Credential |
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Telephone | 346-470-4993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BD1200X
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Taxonomy Name | Dialysis Equipment & Supplies (DME)
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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 | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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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 | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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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 | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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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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