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General NPI Number Information
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NPI Number | 1598688962
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Entity Type | Organization
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Legal Business Name | NIAGARA BLUE ADVANCEMENTS LLC
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 6445 MAIN ST STE 1900
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City | HOUSTON
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State | TX
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Zip | 77030-1502
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Country | US
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Telephone | 832-226-1450
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Fax | 346-202-0212
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Provider Business Mailing Address
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Address Line | 2701 EVENING SHORE LN
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City | PEARLAND
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State | TX
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Zip | 77584-9738
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Country | US
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Telephone | 832-226-1450
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Fax | 346-202-0212
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Authorized Official
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Title or Position | CEO
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Name | ROB BALDIN
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Credential |
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Telephone | 832-226-1450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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