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General NPI Number Information
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NPI Number | 1861566200
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Entity Type | Organization
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Legal Business Name | ATEX MEDICAL SUPPLY LLC
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Dates
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Enumeration Date | 11/18/2006
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Last Update Date | 01/04/2011
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Provider Practice Location Address
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Address Line | 11500 FM 1960 RD W SUITE 124
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City | HOUSTON
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State | TX
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Zip | 77065-3608
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Country | US
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Telephone | 281-859-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 11838 SANDY STREAM DR
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City | TOMBALL
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State | TX
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Zip | 77375-7737
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Country | US
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Telephone | 832-515-4992
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. KENNETH BOTWE
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Credential |
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Telephone | 281-859-6800
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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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