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General NPI Number Information
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NPI Number | 1538445010
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Entity Type | Organization
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Legal Business Name | MVP MEDICAL SUPPLY COMPANY
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Dates
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Enumeration Date | 10/27/2011
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Last Update Date | 10/27/2011
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Provider Practice Location Address
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Address Line | 10764 S GESSNER DR
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City | HOUSTON
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State | TX
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Zip | 77071-3509
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Country | US
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Telephone | 713-773-4687
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Fax | 713-773-1687
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Provider Business Mailing Address
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Address Line | 10764 S GESSNER DR
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City | HOUSTON
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State | TX
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Zip | 77071-3509
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Country | US
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Telephone | 713-773-4687
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Fax | 713-773-1687
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | FLOYD EARL SWOOPES
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Credential |
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Telephone | 713-773-4687
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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 | 1000558
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License Number State | TX
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