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General NPI Number Information
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NPI Number | 1043365711
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Entity Type | Organization
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Legal Business Name | PURE OXYGEN SERVICES LLC.
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 08/17/2009
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Provider Practice Location Address
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Address Line | 4105 S CHARLESTON PIKE
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City | SPRINGFIELD
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State | OH
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Zip | 45502-9375
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Country | US
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Telephone | 937-342-1800
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Fax | 937-342-1801
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Provider Business Mailing Address
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Address Line | 4105 S. CHARLESTON PIKE
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City | SPRINGFIELD
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State | OH
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Zip | 45502-9375
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Country | US
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Telephone | 937-342-1800
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Fax | 937-342-1801
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MRS. ERIN L PATTON
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Credential |
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Telephone | 937-342-1800
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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 | 021527150
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License Number State | OH
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