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General NPI Number Information
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NPI Number | 1548431109
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Entity Type | Organization
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Legal Business Name | PAGCO MEDICAL SERVICES
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Dates
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Enumeration Date | 03/21/2008
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Last Update Date | 03/21/2008
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Provider Practice Location Address
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Address Line | 6201 BONHOMME RD SUITE 290 N - I
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City | HOUSTON
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State | TX
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Zip | 77036-4365
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Country | US
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Telephone | 713-783-2070
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Fax |
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Provider Business Mailing Address
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Address Line | 6201 BONHOMME RD SUITE 290 N - I
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City | HOUSTON
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State | TX
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Zip | 77036-4365
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Country | US
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Telephone | 713-783-2070
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PETER IDEMUDIA OGIAMIEN
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Credential |
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Telephone | 713-783-2070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State | TX
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