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General NPI Number Information
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NPI Number | 1609514116
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Entity Type | Organization
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Legal Business Name | PULMCARE
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Dates
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Enumeration Date | 05/24/2022
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 316 E MAIN ST STE 2D
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City | HUMBLE
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State | TX
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Zip | 77338-4572
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Country | US
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Telephone | 254-253-2140
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Fax | 430-204-4453
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Provider Business Mailing Address
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Address Line | 316 E MAIN ST STE 2D
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City | HUMBLE
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State | TX
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Zip | 77338-4572
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Country | US
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Telephone | 254-253-2140
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Fax | 430-204-4453
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Authorized Official
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Title or Position | OWNER
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Name | DAVID TETTEH
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Credential |
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Telephone | 832-477-6069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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