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General NPI Number Information
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NPI Number | 1407306368
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Entity Type | Organization
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Legal Business Name | HTK ENTERPRISES, INC.
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Dates
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Enumeration Date | 10/04/2016
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Last Update Date | 10/04/2016
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Provider Practice Location Address
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Address Line | 11882 GREENVILLE AVE SUITE 127
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City | DALLAS
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State | TX
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Zip | 75243-0586
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Country | US
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Telephone | 469-364-3420
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Fax | 469-364-3421
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Provider Business Mailing Address
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Address Line | 11882 GREENVILLE AVE SUITE 127
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City | DALLAS
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State | TX
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Zip | 75243-0586
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Country | US
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Telephone | 469-364-3420
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Fax | 469-364-3421
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JANICE LING WALKER
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Credential | O.T.
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Telephone | 469-364-3420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 1001720
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License Number State | TX
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