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General NPI Number Information
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NPI Number | 1457682346
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Entity Type | Organization
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Legal Business Name | US BUSINESS SPECIALTIES,LLC
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Dates
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Enumeration Date | 01/17/2010
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Last Update Date | 01/17/2010
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Provider Practice Location Address
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Address Line | 17702 MEADOW CROSSING LN
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City | HOUSTON
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State | TX
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Zip | 77095-4768
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Country | US
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Telephone | 800-795-1154
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Fax | 281-936-8807
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Provider Business Mailing Address
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Address Line | 17702 MEADOW CROSSING LN
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City | HOUSTON
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State | TX
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Zip | 77095-4768
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Country | US
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Telephone |
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Fax | 281-936-8807
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Authorized Official
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Title or Position | CEO
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Name | MR. MICHAEL P MAHONEY
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Credential |
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Telephone | 800-795-1154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number | 289360000002
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License Number State | TX
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