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General NPI Number Information
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NPI Number | 1962005371
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Entity Type | Organization
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Legal Business Name | FOURTOON INC
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Dates
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Enumeration Date | 11/18/2020
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 3040 FM 1960 RD
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City | HOUSTON
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State | TX
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Zip | 77073-2615
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Country | US
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Telephone | 936-777-9797
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Fax |
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Provider Business Mailing Address
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Address Line | 10 SUMMER PRT
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City | SPRING
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State | TX
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Zip | 77381-4270
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Country | US
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Telephone | 936-777-9797
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. ZIA KAUSER
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Credential |
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Telephone | 936-777-9797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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