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General NPI Number Information
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NPI Number | 1609863844
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Entity Type | Organization
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Legal Business Name | CONROE HOME MEDICAL EQUIPMENT, INC
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2024 FM 2854 RD
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City | CONROE
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State | TX
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Zip | 77304-1611
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Country | US
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Telephone | 936-788-2992
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Fax | 936-788-2996
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Provider Business Mailing Address
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Address Line | 2024 FM 2854 RD
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City | CONROE
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State | TX
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Zip | 77304-1611
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Country | US
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Telephone | 936-788-2992
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Fax | 936-788-2996
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MARY KLEINPETER
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Credential |
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Telephone | 936-788-2992
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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 | 0034999
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License Number State | TX
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