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General NPI Number Information
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NPI Number | 1588933303
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Entity Type | Individual
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Provider Name | MR. DAVID JOSEPH HITTLER
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Gender | Male
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Dates
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Enumeration Date | 12/22/2011
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Last Update Date | 09/12/2019
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Provider Practice Location Address
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Address Line | 8203 WILLOW PLACE DR S STE 345
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City | HOUSTON
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State | TX
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Zip | 77070-5655
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Country | US
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Telephone | 281-520-3746
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Fax |
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Provider Business Mailing Address
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Address Line | 9711 DEER PATH LN
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City | MAGNOLIA
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State | TX
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Zip | 77354-6923
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Country | US
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Telephone | 281-881-4144
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 014655
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 014655
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 014655
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 014655
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License Number State | TX
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