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General NPI Number Information
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NPI Number | 1972741080
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Entity Type | Organization
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Legal Business Name | GIFTER MEDICAL SERVICES
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Dates
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Enumeration Date | 01/27/2009
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Last Update Date | 01/27/2009
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Provider Practice Location Address
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Address Line | 10101 FONDREN RD STE 255
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City | HOUSTON
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State | TX
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Zip | 77096-4844
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Country | US
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Telephone | 832-212-1699
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Fax | 713-272-7631
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Provider Business Mailing Address
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Address Line | 10101 FONDREN RD SUITE 255
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City | HOUSTON
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State | TX
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Zip | 77096-4564
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Country | US
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Telephone | 832-212-1699
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Fax | 713-272-7631
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MERCY O AINABE
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Credential |
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Telephone | 832-212-1699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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