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General NPI Number Information
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NPI Number | 1982897666
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Entity Type | Organization
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Legal Business Name | BURTON & WHITE MEDICAL SUPPLIES
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Dates
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Enumeration Date | 08/25/2007
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Last Update Date | 08/25/2007
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Provider Practice Location Address
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Address Line | 525 N SAM HOUSTON PKWY E SUITE # 560
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City | HOUSTON
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State | TX
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Zip | 77060-4037
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Country | US
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Telephone | 832-687-6316
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Fax |
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Provider Business Mailing Address
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Address Line | 525 N SAM HOUSTON PKWY E SUITE # 560
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City | HOUSTON
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State | TX
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Zip | 77060-4037
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Country | US
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Telephone | 832-687-6316
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. CLYDELL WHITE JR.
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Credential |
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Telephone | 954-790-1748
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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 |
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License Number State |
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