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General NPI Number Information
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NPI Number | 1558502005
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Entity Type | Organization
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Legal Business Name | 7 SISTERS CARE HEALTH BOUTIQUE,INC.
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Dates
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Enumeration Date | 03/13/2009
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Last Update Date | 04/26/2011
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Provider Practice Location Address
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Address Line | 2015 MULBERRY AVE STE. 320
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City | MOUNT PLEASANT
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State | TX
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Zip | 75455-2362
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Country | US
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Telephone | 903-572-0058
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Fax | 903-577-9665
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Provider Business Mailing Address
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Address Line | 2015 MULBERRY AVE STE 320
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City | MOUNT PLEASANT
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State | TX
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Zip | 75455-2362
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Country | US
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Telephone | 903-572-0058
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Fax | 903-577-9665
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Authorized Official
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Title or Position | VP/MGR
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Name | ELIZABETH T HESS
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Credential |
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Telephone | 903-572-0058
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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 | 32039073146
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License Number State | TX
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