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General NPI Number Information
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NPI Number | 1891874640
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Entity Type | Organization
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Legal Business Name | NICHE MEDICAL SALES INC
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 10/21/2014
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Provider Practice Location Address
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Address Line | 7066 LAKEVIEW HAVEN DR SUITE 125B
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City | HOUSTON
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State | TX
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Zip | 77095-2568
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Country | US
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Telephone | 281-463-4113
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Fax | 281-463-4033
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Provider Business Mailing Address
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Address Line | 7066 LAKEVIEW HAVEN DR SUITE 125B
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City | HOUSTON
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State | TX
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Zip | 77095-2568
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Country | US
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Telephone | 281-463-4113
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Fax | 281-463-4033
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Authorized Official
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Title or Position | OWNER
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Name | KENLYN DEROCHE OJONTA
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Credential |
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Telephone | 281-463-4113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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