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General NPI Number Information
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NPI Number | 1376730952
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Entity Type | Organization
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Legal Business Name | EMV MEDICAL SUPPLIES
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Dates
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Enumeration Date | 09/27/2007
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Last Update Date | 10/22/2007
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Provider Practice Location Address
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Address Line | 9896 BISSONNET ST STE 102
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City | HOUSTON
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State | TX
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Zip | 77036-8151
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Country | US
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Telephone | 713-800-0715
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Fax |
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Provider Business Mailing Address
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Address Line | 9896 BISSONNET ST STE 102
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City | HOUSTON
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State | TX
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Zip | 77036-8151
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Country | US
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Telephone | 713-800-0715
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. SOLOMON J NWOKOCHA
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Credential | PHARM'D
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Telephone | 832-687-8256
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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 | 0094753
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License Number State | TX
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