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General NPI Number Information
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NPI Number | 1740364934
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Entity Type | Organization
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Legal Business Name | HARBOR ALLIANCE, INC.
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 05/02/2016
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Provider Practice Location Address
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Address Line | 4201 FM 1960 RD W SUITE 511
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City | HOUSTON
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State | TX
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Zip | 77068-3414
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Country | US
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Telephone | 281-397-8740
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Fax | 281-397-8741
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Provider Business Mailing Address
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Address Line | 4201 FM 1960 RD W SUITE 511
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City | HOUSTON
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State | TX
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Zip | 77068-3414
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Country | US
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Telephone | 281-397-8740
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Fax | 281-397-8741
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. PAULINE C MARTIN
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Credential |
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Telephone | 281-397-8740
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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 | 800724126
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License Number State | TX
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