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General NPI Number Information
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NPI Number | 1780006163
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Entity Type | Organization
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Legal Business Name | HOUSTON BRACE FIT, L.L.C.
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Dates
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Enumeration Date | 01/20/2014
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Last Update Date | 01/20/2014
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Provider Practice Location Address
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Address Line | 1315 ST JOSEPH PKWY STE 1202
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City | HOUSTON
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State | TX
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Zip | 77002-8235
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Country | US
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Telephone | 713-756-5546
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Fax | 713-756-5378
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Provider Business Mailing Address
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Address Line | 12911 BOHEME DR
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City | HOUSTON
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State | TX
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Zip | 77024-4707
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. ROSEMARY BUCKLE
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Credential | M.D.
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Telephone | 713-756-5546
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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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