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General NPI Number Information
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NPI Number | 1649505595
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Entity Type | Organization
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Legal Business Name | S&R MEDICAL SUPPLY AND WELLNESS CENTER
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Dates
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Enumeration Date | 10/10/2009
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Last Update Date | 10/10/2009
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Provider Practice Location Address
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Address Line | 6777 HIGHWAY 6 S
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City | HOUSTON
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State | TX
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Zip | 77083-1511
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Country | US
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Telephone | 281-564-6777
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Fax |
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Provider Business Mailing Address
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Address Line | 6777 HIGHWAY 6 S
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City | HOUSTON
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State | TX
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Zip | 77083-1511
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Country | US
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Telephone | 281-564-6777
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | IRAJ ABEDINIA
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Credential |
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Telephone | 281-564-6777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | F008712
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License Number State |
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