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General NPI Number Information
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NPI Number | 1962636175
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Entity Type | Organization
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Legal Business Name | NEW START MEDICAL
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Dates
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Enumeration Date | 05/04/2009
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Last Update Date | 05/04/2009
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Provider Practice Location Address
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Address Line | 5400 PINEMONT DR STE 105
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City | HOUSTON
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State | TX
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Zip | 77092-3400
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Country | US
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Telephone | 713-681-3599
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Fax | 713-681-3594
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Provider Business Mailing Address
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Address Line | 5400 PINEMONT DR STE 105
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City | HOUSTON
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State | TX
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Zip | 77092-3400
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Country | US
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Telephone | 713-681-3599
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Fax | 713-681-3594
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Authorized Official
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Title or Position | OWNER/ADMINSTRATOR
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Name | MR. JOSEPH ROY HANDY
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Credential |
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Telephone | 832-279-0446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | J6641
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License Number State | TX
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