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General NPI Number Information
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NPI Number | 1538430251
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Entity Type | Organization
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Legal Business Name | F D PRASEK CORPORATION
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Dates
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Enumeration Date | 01/26/2012
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Last Update Date | 01/26/2012
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Provider Practice Location Address
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Address Line | 6420 RICHMOND AVE STE 107
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City | HOUSTON
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State | TX
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Zip | 77057-5923
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Country | US
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Telephone | 281-438-4247
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Fax | 713-781-3937
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Provider Business Mailing Address
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Address Line | 6420 RICHMOND AVE STE 107
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City | HOUSTON
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State | TX
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Zip | 77057-5923
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Country | US
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Telephone | 281-438-4247
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Fax | 713-781-3937
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Authorized Official
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Title or Position | OWNER
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Name | MR. FRANK DELANO PRASEK
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Credential |
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Telephone | 281-438-4247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 610852
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License Number State | TX
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