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General NPI Number Information
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NPI Number | 1609107697
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Entity Type | Organization
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Legal Business Name | RICKY KNOWLES HAIR AND WELLNESS
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Dates
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Enumeration Date | 01/15/2010
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Last Update Date | 01/15/2010
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Provider Practice Location Address
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Address Line | 4615 SOUTHWEST FWY #420
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City | HOUSTON
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State | TX
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Zip | 77027-7108
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Country | US
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Telephone | 713-484-9647
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Fax | 281-485-4262
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Provider Business Mailing Address
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Address Line | 3106 MELODY PEAK LN
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City | PEARLAND
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State | TX
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Zip | 77581-2553
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Country | US
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Telephone | 713-484-9647
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Fax | 281-485-4262
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RICKY NORMAN KNOLWES
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Credential |
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Telephone | 713-484-9647
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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 | 1130614
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License Number State | TX
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