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General NPI Number Information
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NPI Number | 1053424218
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Entity Type | Organization
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Legal Business Name | B & M OXIMETRY LAB, INC.
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 2351 SW PLUM CT
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34953-5768
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Country | US
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Telephone | 772-621-4299
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Fax | 772-621-4195
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Provider Business Mailing Address
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Address Line | 2351 SW PLUM CT
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34953-5768
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Country | US
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Telephone | 772-621-4299
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Fax | 772-621-4195
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. KATHIA S MONROIG
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Credential |
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Telephone | 772-621-4299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number | 729920041019
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License Number State | FL
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