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General NPI Number Information
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NPI Number | 1689855520
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Entity Type | Organization
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Legal Business Name | LYMPHEDEMA PRODUCTS & SERVICES, INC.
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Dates
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Enumeration Date | 11/20/2007
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Last Update Date | 06/28/2016
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Provider Practice Location Address
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Address Line | 16856 HIGHWAY 3
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City | WEBSTER
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State | TX
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Zip | 77598-2112
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Country | US
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Telephone | 281-332-4136
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Fax | 281-332-4190
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Provider Business Mailing Address
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Address Line | PO BOX 58390
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City | WEBSTER
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State | TX
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Zip | 77598-8390
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Country | US
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Telephone | 281-332-4136
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Fax | 281-332-4190
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Authorized Official
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Title or Position | PRESIDENT
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Name | ERIN K HAMILTON
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Credential | LMT, CMLDT
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Telephone | 281-332-4136
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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 | 0094614
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License Number State | TX
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