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General NPI Number Information
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NPI Number | 1023072634
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Entity Type | Organization
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Legal Business Name | MEDIC-AIRE, INC.
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Dates
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Enumeration Date | 04/12/2006
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Last Update Date | 04/13/2009
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Provider Practice Location Address
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Address Line | 1908 N 11TH ST
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City | MUSKOGEE
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State | OK
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Zip | 74401-3507
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Country | US
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Telephone | 918-686-0010
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Fax | 918-686-0078
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Provider Business Mailing Address
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Address Line | 1908 N 11TH ST
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City | MUSKOGEE
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State | OK
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Zip | 74401-3507
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Country | US
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Telephone | 918-686-0031
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Fax | 918-686-0012
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SHERRI R. HISELEY
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Credential |
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Telephone | 918-686-0031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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