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General NPI Number Information
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NPI Number | 1659438257
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Entity Type | Organization
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Legal Business Name | PERFORMANCE EXCELLENCE CORPORATION
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 04/17/2012
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Provider Practice Location Address
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Address Line | 12002 RICHMOND AVE 700
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City | HOUSTON
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State | TX
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Zip | 77082-2433
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Country | US
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Telephone | 281-558-2273
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Fax | 281-558-2275
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Provider Business Mailing Address
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Address Line | 12002 RICHMOND AVE 700
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City | HOUSTON
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State | TX
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Zip | 77082-2433
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Country | US
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Telephone | 281-558-2273
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Fax | 281-558-2275
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Authorized Official
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Title or Position | OWNER
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Name | MS. MALINDA WALLER
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Credential |
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Telephone | 281-558-2273
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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 | 0061279
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License Number State | TX
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