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General NPI Number Information
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NPI Number | 1689784670
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Entity Type | Organization
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Legal Business Name | 1866ICPAYDAY.COM LLC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 12/10/2008
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Provider Practice Location Address
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Address Line | 1801 S DAIRY ASHFORD ST STE 104
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City | HOUSTON
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State | TX
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Zip | 77077-4765
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Country | US
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Telephone | 832-884-0498
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 S DAIRY ASHFORD ST STE 104
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City | HOUSTON
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State | TX
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Zip | 77077-4765
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Country | US
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Telephone | 832-884-0498
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | LAWRENCE T TYLER
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Credential |
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Telephone | 832-884-0498
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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 | 0091229
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License Number State | TX
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