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General NPI Number Information
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NPI Number | 1598988552
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Entity Type | Organization
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Legal Business Name | AMTEX MEDICAL SUPPLY
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 07/25/2007
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Provider Practice Location Address
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Address Line | 7100 REGENCY SQUARE BLVD SUITE 248
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City | HOUSTON
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State | TX
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Zip | 77036-3202
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Country | US
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Telephone | 713-778-0806
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Fax | 713-781-3094
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Provider Business Mailing Address
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Address Line | 7100 REGENCY SQUARE BLVD SUITE 248
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City | HOUSTON
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State | TX
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Zip | 77036-3202
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Country | US
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Telephone | 713-778-0806
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Fax | 713-781-3094
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Authorized Official
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Title or Position | COMPLIANCE OFFICER
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Name | MR. CHUKA GORDON ORAKPO
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Credential |
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Telephone | 713-778-0806
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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 | 0065623
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License Number State | TX
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