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General NPI Number Information
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NPI Number | 1730287046
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Entity Type | Organization
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Legal Business Name | HAUSER ORTHOTICS & PROSTHETICS, INC.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 12/19/2008
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Provider Practice Location Address
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Address Line | 507 WACO ST
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City | CONROE
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State | TX
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Zip | 77301-2332
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Country | US
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Telephone | 936-441-1133
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Fax | 936-788-1156
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Provider Business Mailing Address
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Address Line | 507 WACO ST
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City | CONROE
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State | TX
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Zip | 77301-2332
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Country | US
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Telephone | 936-441-1133
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Fax | 936-788-1156
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Authorized Official
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Title or Position | CEO
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Name | RUSS HAUSER
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Credential | CP
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Telephone | 936-441-1133
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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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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 336
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License Number State | TX
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