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General NPI Number Information
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NPI Number | 1700070877
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Entity Type | Organization
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Legal Business Name | TEX STIM MEDICAL EQUIPMENT
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Dates
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Enumeration Date | 08/31/2007
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Last Update Date | 08/31/2007
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Provider Practice Location Address
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Address Line | 507 ATASCOCITA RD
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City | HUMBLE
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State | TX
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Zip | 77396-3610
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Country | US
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Telephone | 832-818-5352
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5123
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City | KINGWOOD
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State | TX
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Zip | 77325-5123
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Country | US
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Telephone | 832-818-5352
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. CHRISTOPHER LYNN KEY
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Credential | OWNER
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Telephone | 832-818-5352
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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 | 0092153
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License Number State | TX
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