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General NPI Number Information
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NPI Number | 1598889958
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Entity Type | Organization
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Legal Business Name | TMC ORTHOPEDIC, LP
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 02/19/2014
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Provider Practice Location Address
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Address Line | 17490 STATE HWY 3 SUITE 100A
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City | WEBSTER
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State | TX
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Zip | 77598
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Country | US
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Telephone | 281-332-4888
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 650846
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City | DALLAS
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State | TX
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Zip | 75265-0846
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Country | US
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Telephone | 713-669-1800
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF REIMBURSEMENT
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Name | SHERYL S PRICE
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Credential |
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Telephone | 503-493-8288
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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 | 000132
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 0040105
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License Number State | TX
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