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General NPI Number Information
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NPI Number | 1376729152
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Entity Type | Organization
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Legal Business Name | MPULSE HEALTHCARE
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Dates
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Enumeration Date | 01/11/2008
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Last Update Date | 04/20/2012
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Provider Practice Location Address
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Address Line | 4173 BLUEBONNET DR
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City | STAFFORD
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State | TX
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Zip | 77477-3909
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Country | US
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Telephone | 281-277-4410
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Fax | 281-605-5598
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Provider Business Mailing Address
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Address Line | 54 SUGAR CREEK CENTER BLVD STE 300
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City | SUGAR LAND
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State | TX
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Zip | 77478-4064
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Country | US
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Telephone | 281-277-4410
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Fax | 281-605-5598
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Authorized Official
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Title or Position | PRINCIPAL
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Name | MR. TYRONE DIXON
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Credential |
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Telephone | 281-277-4410
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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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