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General NPI Number Information
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NPI Number | 1447647821
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Entity Type | Organization
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Legal Business Name | SPERO REHABILITATION LLC
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Dates
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Enumeration Date | 04/23/2015
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Last Update Date | 02/16/2016
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Provider Practice Location Address
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Address Line | 23225 KINGSLAND BLVD SUITE 600
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City | KATY
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State | TX
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Zip | 77494-2868
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Country | US
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Telephone | 281-395-9090
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Fax | 281-395-9091
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Provider Business Mailing Address
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Address Line | 23225 KINGSLAND BLVD SUITE 600
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City | KATY
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State | TX
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Zip | 77494-2868
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Country | US
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Telephone | 281-395-9090
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Fax | 281-395-9091
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Authorized Official
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Title or Position | MANAGER
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Name | DONDE KAYE WILTCHER
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Credential |
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Telephone | 281-395-9090
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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 | 1001463
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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 | 1001463
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License Number State | TX
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