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General NPI Number Information
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NPI Number | 1063129534
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Entity Type | Organization
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Legal Business Name | MISSION MEDICAL EQUIPMENT, LLC
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Dates
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Enumeration Date | 11/03/2022
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Last Update Date | 11/03/2022
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Provider Practice Location Address
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Address Line | 208 N OAK ST
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City | SALLISAW
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State | OK
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Zip | 74955-4640
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Country | US
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Telephone | 918-637-1544
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Fax |
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Provider Business Mailing Address
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Address Line | 4812 E 33RD ST
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City | TULSA
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State | OK
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Zip | 74135-2038
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Country | US
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Telephone | 918-794-5524
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Fax | 918-794-6595
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Authorized Official
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Title or Position | PARTNER
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Name | JOYCE ANNE DEASON
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Credential |
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Telephone | 918-637-1544
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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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