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General NPI Number Information
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NPI Number | 1508360041
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Entity Type | Individual
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Provider Name | CHARLES DEE DELK
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Gender | Male
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 5810 HIGHWAY 6 N STE 300
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City | HOUSTON
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State | TX
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Zip | 77084-1825
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Country | US
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Telephone | 832-614-5983
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 721
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City | SIMONTON
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State | TX
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Zip | 77476-0721
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Country | US
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Telephone | 832-614-5983
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 |
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License Number State |
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