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General NPI Number Information
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NPI Number | 1396719621
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Entity Type | Organization
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Legal Business Name | HERMANN MEDICAL SUPPLIES, INC
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 03/13/2012
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Provider Practice Location Address
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Address Line | 439 MASON PARK BLVD SUITE A
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City | KATY
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State | TX
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Zip | 77450-6242
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Country | US
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Telephone | 281-392-1114
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Fax | 281-392-1146
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Provider Business Mailing Address
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Address Line | 439 MASON PARK BLVD SUITE A
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City | KATY
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State | TX
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Zip | 77450-6242
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Country | US
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Telephone | 281-392-1114
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Fax | 281-392-1146
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Authorized Official
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Title or Position | PRESIDENT
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Name | ABIGAIL GREENE
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Credential |
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Telephone | 281-392-1114
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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 | TX 0012914
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0080003
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License Number State | TX
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