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General NPI Number Information
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NPI Number | 1548493539
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Entity Type | Organization
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Legal Business Name | ELEGANT MEDICAL SUPPLY INC
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Dates
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Enumeration Date | 08/25/2009
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Last Update Date | 04/10/2013
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Provider Practice Location Address
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Address Line | 6525W SAM HOUSTON PKY N SUITE A
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City | HOUSTON
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State | TX
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Zip | 77041
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Country | US
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Telephone | 713-466-4500
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Fax | 713-466-4501
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Provider Business Mailing Address
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Address Line | 6525 W SAM HOUSTON PKWY N SUITE A
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City | HOUSTON
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State | TX
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Zip | 77041-5104
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Country | US
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Telephone | 713-466-4500
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Fax | 713-466-4501
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Authorized Official
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Title or Position | CEO/OWNER
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Name | ABHAMAN AJEEMDAS PARMAR
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Credential |
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Telephone | 713-973-0402
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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 |
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