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General NPI Number Information
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NPI Number | 1841604758
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Entity Type | Organization
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Legal Business Name | RENAISSANCE MOTION TECHNOLOGICAL SERVICES
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Dates
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Enumeration Date | 06/18/2014
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Last Update Date | 04/04/2016
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Provider Practice Location Address
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Address Line | 440 BENMAR DR STE 2002
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City | HOUSTON
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State | TX
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Zip | 77060-3165
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Country | US
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Telephone | 281-670-5144
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Fax | 281-781-8830
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Provider Business Mailing Address
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Address Line | PO BOX 41364
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City | HOUSTON
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State | TX
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Zip | 77241-1364
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Country | US
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Telephone | 281-670-5144
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Fax | 281-781-8830
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAMES A BECKHAM SR.
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Credential |
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Telephone | 281-670-5144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 1465
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License Number State | TX
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