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General NPI Number Information
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NPI Number | 1659813913
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Entity Type | Organization
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Legal Business Name | BETTER VARIETY MEDICAL LLC.
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Dates
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Enumeration Date | 11/17/2016
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Last Update Date | 11/17/2016
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Provider Practice Location Address
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Address Line | 1100 NASA PKWY #420C
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City | HOUSTON
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State | TX
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Zip | 77058-3325
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Country | US
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Telephone | 281-957-7171
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Fax | 832-218-4285
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Provider Business Mailing Address
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Address Line | 1100 NASA PKWY #420C
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City | HOUSTON
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State | TX
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Zip | 77058-3325
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Country | US
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Telephone | 281-957-7171
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Fax | 832-218-4285
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Authorized Official
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Title or Position | CEO
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Name | JOADANI BUSTAMANTE
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Credential |
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Telephone | 832-955-7727
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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 | 1001422
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License Number State | TX
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