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General NPI Number Information
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NPI Number | 1538773106
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Entity Type | Organization
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Legal Business Name | MEMORIAL PROSTHETICS AND ORTHOTICS INC
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Dates
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Enumeration Date | 09/01/2020
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Last Update Date | 12/08/2022
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Provider Practice Location Address
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Address Line | 439 MASON PARK BLVD STE A1
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City | KATY
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State | TX
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Zip | 77450-4163
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Country | US
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Telephone | 281-206-7806
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Fax | 713-583-0099
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Provider Business Mailing Address
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Address Line | 439 MASON PARK BLVD STE A1
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City | KATY
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State | TX
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Zip | 77450-4163
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Country | US
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Telephone | 281-206-7806
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Fax | 713-583-0099
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Authorized Official
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Title or Position | PRESIDENT
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Name | ABIGAIL GREENE
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Credential |
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Telephone | 281-206-7806
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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 |
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License Number State |
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