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General NPI Number Information
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NPI Number | 1912540022
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Entity Type | Organization
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Legal Business Name | PROCARE BIOMEDICAL REPAIR LLC
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Dates
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Enumeration Date | 10/21/2019
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Last Update Date | 03/03/2022
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Provider Practice Location Address
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Address Line | 18703 CLAY RD STE 400
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City | HOUSTON
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State | TX
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Zip | 77084-7737
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Country | US
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Telephone | 281-375-9845
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Fax |
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Provider Business Mailing Address
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Address Line | 18703 CLAY RD STE 400
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City | HOUSTON
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State | TX
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Zip | 77084-7737
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Country | US
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Telephone | 281-375-9845
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CSABA PEK
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Credential |
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Telephone | 561-314-9553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225CA2500X
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Taxonomy Name | Assistive Technology Supplier Rehabilitation Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #4
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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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