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General NPI Number Information
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NPI Number | 1518773365
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Entity Type | Organization
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Legal Business Name | VIVAPATH MEDGEAR LLC
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Dates
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Enumeration Date | 12/06/2024
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 3934 FM 1960 RD W STE 300D
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City | HOUSTON
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State | TX
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Zip | 77068-3545
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Country | US
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Telephone | 312-270-3747
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Fax |
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Provider Business Mailing Address
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Address Line | 3934 FM 1960 RD W STE 300D
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City | HOUSTON
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State | TX
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Zip | 77068-3545
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | OWAIS REHAN MOHAMMED
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Credential |
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Telephone | 312-270-3747
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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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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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