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General NPI Number Information
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NPI Number | 1598906737
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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 | 03/18/2009
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Last Update Date | 03/18/2009
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Provider Practice Location Address
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Address Line | 1314 FM 1960 RD W
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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 |
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Provider Business Mailing Address
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Address Line | 1314 FM 1960 RD W
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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 |
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Authorized Official
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Title or Position | CORP DIRECTOR
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Name | MARISA WILLIAMS
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Credential |
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Telephone | 281-580-1992
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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 | 101244
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License Number State | TX
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