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General NPI Number Information
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NPI Number | 1700639671
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Entity Type | Organization
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Legal Business Name | BAYTOWN MEDICAL SUPPLY LLC
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Dates
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Enumeration Date | 04/09/2024
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 2005 WARD RD
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City | BAYTOWN
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State | TX
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Zip | 77520-5504
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Country | US
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Telephone | 832-596-8750
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Fax |
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Provider Business Mailing Address
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Address Line | 2005 WARD RD
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City | BAYTOWN
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State | TX
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Zip | 77520-5504
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Country | US
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Telephone | 832-596-8750
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | ANNETTE BROSIG
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Credential |
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Telephone | 832-452-4021
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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 |
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License Number State |
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