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General NPI Number Information
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NPI Number | 1649384363
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Entity Type | Organization
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Legal Business Name | JAMES ARUA AGBEZE
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 08/26/2008
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Provider Practice Location Address
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Address Line | 104 INDUSTRIAL BLVD. SUITE 209
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City | SUGAR LAND
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State | TX
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Zip | 77478-3174
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Country | US
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Telephone | 281-313-9222
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Fax | 281-313-9223
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Provider Business Mailing Address
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Address Line | 104 INDUSTRIAL BLVD SUITE 209
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City | SUGAR LAND
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State | TX
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Zip | 77478-3180
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Country | US
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Telephone | 281-313-9222
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Fax | 281-313-9223
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Authorized Official
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Title or Position | MANAGER/CEO
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Name | MR. JAMES ARUA AGBEZE
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Credential | MANAGER/OWNER
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Telephone | 281-313-9222
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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 | 0065428
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License Number State | TX
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