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NPI 1528275252

NPI 1528275252 : HAUSER ORTHOTICS & PROSTHETICS, INC : HUNTSVILLE, TX

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General NPI Number Information
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    NPI Number           |    1528275252
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    Entity Type          |    Organization 
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    Legal Business Name  |    HAUSER ORTHOTICS & PROSTHETICS, INC 
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Dates
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    Enumeration Date     |    05/16/2007
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    Last Update Date     |    12/15/2008
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Provider Practice Location Address
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    Address Line         |    1719 11TH ST # 103 
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    City                 |    HUNTSVILLE
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    State                |    TX
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    Zip                  |    77340-3722
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    Country              |    US
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    Telephone            |    936-436-1133
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    507 WACO ST 
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    City                 |    CONROE
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    State                |    TX
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    Zip                  |    77301-2332
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    Country              |    US
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    Telephone            |    936-441-1133
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MR. MELANIE  HAUSER 
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    Credential           |    
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    Telephone            |    936-441-1133
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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        |    335E00000X
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    Taxonomy Name        |    Prosthetic/Orthotic Supplier
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    License Number       |    000141
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    License Number State |    TX
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