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General NPI Number Information
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NPI Number | 1992989685
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Entity Type | Organization
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Legal Business Name | ESTHER HEALTHCARE SYSTEM,INC
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Dates
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Enumeration Date | 12/18/2007
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Last Update Date | 09/29/2009
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Provider Practice Location Address
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Address Line | 5400 PINEMONT DR STE 109 SUITE 109
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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 | 713-699-1921
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Fax | 713-699-1985
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Provider Business Mailing Address
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Address Line | 5400 PINEMONT DR STE 109 5400 PINEMONT DR. STE.109
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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 | 713-699-1921
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Fax | 713-699-1985
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROBERT CHIBUTUTU OFOR
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Credential | N/A
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Telephone | 713-699-1921
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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 | 800863930
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License Number State | TX
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