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General NPI Number Information
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NPI Number | 1639288806
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Entity Type | Organization
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Legal Business Name | ABC MEDICAL SUPPLIES, INC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5624 GARTH RD
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City | BAYTOWN
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State | TX
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Zip | 77521-9626
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Country | US
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Telephone | 281-421-8742
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Fax | 281-421-8741
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Provider Business Mailing Address
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Address Line | 7806 HIAWATHA ST
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City | BAYTOWN
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State | TX
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Zip | 77521-8819
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Country | US
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Telephone | 281-421-8742
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Fax | 281-421-8741
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DONNA COWART
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Credential |
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Telephone | 281-421-2412
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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 | 0032887
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License Number State | TX
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