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General NPI Number Information
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NPI Number | 1801125240
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Entity Type | Organization
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Legal Business Name | K & M MEDICAL SUPPLY, INC.
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Dates
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Enumeration Date | 12/14/2009
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Last Update Date | 11/15/2011
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Provider Practice Location Address
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Address Line | 11901 SHADOW CREEK PKWY SUITE 103
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City | PEARLAND
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State | TX
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Zip | 77584-7346
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Country | US
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Telephone | 713-822-2945
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Fax | 281-741-0954
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Provider Business Mailing Address
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Address Line | 2440 TEXAS PARKWAY #330
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City | MISSOURI CITY
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State | TX
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Zip | 77489
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Country | US
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Telephone | 713-822-2945
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Fax | 281-403-9658
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MATTIE MAE TYO
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Credential |
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Telephone | 713-822-2945
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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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