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General NPI Number Information
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NPI Number | 1871505909
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Entity Type | Organization
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Legal Business Name | ROSA F LOUIS
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 08/14/2014
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Provider Practice Location Address
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Address Line | 8109 CULLEN BLVD SUITE G
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City | HOUSTON
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State | TX
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Zip | 77051-2064
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Country | US
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Telephone | 713-733-0332
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Fax | 713-733-2243
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Provider Business Mailing Address
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Address Line | 8109 CULLEN BLVD SUITE G
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City | HOUSTON
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State | TX
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Zip | 77051-2064
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Country | US
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Telephone | 713-733-0332
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Fax | 713-733-2243
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Authorized Official
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Title or Position | MANAGER
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Name | MR. ROBERT LOUIS I
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Credential |
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Telephone | 713-733-0332
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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 | 0080984
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License Number State | TX
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