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General NPI Number Information
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NPI Number | 1699915280
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Entity Type | Organization
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Legal Business Name | SKYE MEDICAL SIPPLY,INC.
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Dates
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Enumeration Date | 02/23/2009
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Last Update Date | 02/23/2009
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Provider Practice Location Address
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Address Line | 6250 WESTPARK DR SUITE 106
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City | HOUSTON
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State | TX
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Zip | 77057-7322
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Country | US
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Telephone | 713-977-1511
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Fax | 713-977-1509
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Provider Business Mailing Address
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Address Line | 6250 WESTPARK DR SUITE 106
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City | HOUSTON
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State | TX
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Zip | 77057-7322
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Country | US
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Telephone | 713-977-1511
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Fax | 713-977-1509
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. JESSICA CHICHI ISIGUZO
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Credential |
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Telephone | 713-977-1511
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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 | 0109429
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License Number State | TX
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