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General NPI Number Information
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NPI Number | 1700961356
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Entity Type | Organization
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Legal Business Name | ON TIME MEDICAL SUPPLIES
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 01/11/2012
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Provider Practice Location Address
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Address Line | 14455 CULLEN BLVD SUITE C1
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City | HOUSTON
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State | TX
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Zip | 77047-4800
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Country | US
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Telephone | 713-731-0880
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Fax | 713-731-2005
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Provider Business Mailing Address
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Address Line | 14455 CULLEN BLVD SUITE C1
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City | HOUSTON
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State | TX
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Zip | 77047-4800
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Country | US
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Telephone | 713-731-0880
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Fax | 713-731-2005
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. MEDRICK MASON MORRIS
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Credential |
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Telephone | 713-443-8003
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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 | 92761
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License Number State | TX
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