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General NPI Number Information
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NPI Number | 1750389052
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Entity Type | Organization
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Legal Business Name | FIRST CLASS MEDICAL EQUIPMENT AND SUPPLY, INC.
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 06/19/2015
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Provider Practice Location Address
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Address Line | 55 LYERLY ST SUITE 300
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City | HOUSTON
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State | TX
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Zip | 77022-3062
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Country | US
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Telephone | 713-696-9363
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Fax | 713-696-9321
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Provider Business Mailing Address
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Address Line | 55 LYERLY ST SUITE 300
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City | HOUSTON
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State | TX
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Zip | 77022-3062
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Country | US
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Telephone | 713-696-9363
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Fax | 713-696-9321
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Authorized Official
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Title or Position | OPERATIONS DIRECTOR
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Name | MR. DAVID HEATON
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Credential |
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Telephone | 713-696-9363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 0062942
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | TX 14425
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0062942
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License Number State | TX
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