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NPI 1568656890

NPI 1568656890 : HERMANN MEDICAL SUPPLIES II, INC. : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1568656890
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    Entity Type          |    Organization 
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    Legal Business Name  |    HERMANN MEDICAL SUPPLIES II, INC. 
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Dates
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    Enumeration Date     |    08/29/2007
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    Last Update Date     |    03/12/2012
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Provider Practice Location Address
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    Address Line         |    1314 FM 1960 ROAD WEST 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77090-3809
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    Country              |    US
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    Telephone            |    281-580-1992
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    Fax                  |    281-580-1943
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Provider Business Mailing Address
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    Address Line         |    1314 FM 1960 ROAD WEST 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77090-3809
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    Country              |    US
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    Telephone            |    281-580-1992
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    Fax                  |    281-580-1943
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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            |    281-392-1114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332BC3200X
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    Taxonomy Name        |    Customized Equipment (DME)
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    License Number       |    13420298252
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    32033747950
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    License Number State |    TX
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Taxonomy #3
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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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Taxonomy #4
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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 |    TX
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