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General NPI Number Information
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NPI Number | 1700028065
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Entity Type | Organization
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Legal Business Name | SCOOTER STORE - HOUSTON LTD
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Dates
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Enumeration Date | 04/01/2009
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Last Update Date | 08/09/2013
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Provider Practice Location Address
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Address Line | 4401 S PINEMONT DR STE 216
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City | HOUSTON
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State | TX
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Zip | 77041-9327
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Country | US
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Telephone | 713-682-1444
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 310709
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City | NEW BRAUNFELS
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State | TX
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Zip | 78131-0709
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | GENERAL COUNSEL & SECRETARY
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Name | JASON CONE
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Credential |
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Telephone | 830-627-4433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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