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General NPI Number Information
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NPI Number | 1023904893
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Entity Type | Organization
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Legal Business Name | OPTIMALDME
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 1000 W WILSHIRE BLVD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-7030
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Country | US
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Telephone | 405-922-6967
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Fax | 888-280-5771
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Provider Business Mailing Address
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Address Line | 1000 W WILSHIRE BLVD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-7030
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Country | US
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Telephone | 405-922-6967
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Fax | 888-280-5771
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILFRED M MBA
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Credential |
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Telephone | 405-402-5387
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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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