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General NPI Number Information
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NPI Number | 1770020752
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Entity Type | Organization
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Legal Business Name | HEALTHWISE HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 01/27/2017
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Last Update Date | 06/25/2019
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Provider Practice Location Address
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Address Line | 1300 POST OAK BLVD SUITE 1600
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City | HOUSTON
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State | TX
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Zip | 77056-3043
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Country | US
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Telephone | 832-463-9727
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Fax |
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Provider Business Mailing Address
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Address Line | 2424 W. LOOP S SUITE 200
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City | HOUSTON
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State | TX
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Zip | 77027-4208
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Country | US
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Telephone | 832-463-9727
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Fax | 832-218-5179
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Authorized Official
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Title or Position | CEO
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Name | RUDOLPH MARTIN
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Credential |
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Telephone | 832-463-9727
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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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