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General NPI Number Information
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NPI Number | 1972831279
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Entity Type | Organization
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Legal Business Name | OBSEQUIOUS SYSTEMS LLC
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Dates
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Enumeration Date | 11/24/2009
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Last Update Date | 03/06/2014
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Provider Practice Location Address
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Address Line | 4009 BELLAIRE BLVD STE GG
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City | HOUSTON
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State | TX
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Zip | 77025-1168
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Country | US
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Telephone | 713-522-7465
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Fax | 832-218-2949
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Provider Business Mailing Address
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Address Line | 4009 BELLAIRE BLVD STE GG
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City | HOUSTON
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State | TX
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Zip | 77025-1168
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Country | US
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Telephone | 713-522-7465
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Fax | 832-218-2949
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | TERRY TRIBBLE
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Credential | CMF
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Telephone | 713-522-7465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0109381
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License Number State | TX
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Taxonomy #2
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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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