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General NPI Number Information
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NPI Number | 1962429977
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Entity Type | Organization
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Legal Business Name | V.N.J. TRIPLE STARS
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9898 BISSONNET ST SUITE 593
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City | HOUSTON
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State | TX
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Zip | 77036-8270
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Country | US
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Telephone | 832-541-3819
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Fax | 713-484-5521
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Provider Business Mailing Address
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Address Line | 9898 BISSONNET ST SUITE 593
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City | HOUSTON
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State | TX
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Zip | 77036-8270
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Country | US
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Telephone | 832-541-3819
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Fax | 713-484-5521
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Authorized Official
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Title or Position | CHEIF CONSULTANT
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Name | MR. VIC A NWANKPAH
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Credential |
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Telephone | 832-541-3819
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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 | 1219344
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License Number State | TX
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