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General NPI Number Information
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NPI Number | 1013102680
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Entity Type | Organization
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Legal Business Name | PDK OXIMETRY, LLC
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Dates
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Enumeration Date | 09/07/2007
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Last Update Date | 10/24/2007
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Provider Practice Location Address
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Address Line | 7653 MISSION HOME RD
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City | FREE UNION
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State | VA
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Zip | 22940-1512
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Country | US
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Telephone | 877-402-7287
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Fax | 434-985-7737
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Provider Business Mailing Address
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Address Line | 7653 MISSION HOME RD
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City | FREE UNION
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State | VA
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Zip | 22940-1512
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Country | US
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Telephone | 877-402-7287
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Fax | 434-985-7737
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Authorized Official
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Title or Position | OWNER
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Name | MR. DUANE A KARSTEN
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Credential | RRT
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Telephone | 877-402-7287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2278G0305X
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Taxonomy Name | Geriatric Care Certified Respiratory Therapist
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License Number | 0117001959
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License Number State | VA
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