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General NPI Number Information
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NPI Number | 1114039385
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Entity Type | Organization
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Legal Business Name | SNF OXYGEN SERVICESLLC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 240 OTT ST N/A
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City | CORONA
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State | CA
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Zip | 92882-1872
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Country | US
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Telephone | 951-270-5207
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Fax | 951-898-9991
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Provider Business Mailing Address
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Address Line | 1107 FAIR OAKS AVE STE 528
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City | SOUTH PASADENA
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State | CA
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Zip | 91030-3311
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Country | US
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Telephone | 951-270-5207
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Fax | 951-898-9991
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. GERRY SUE ABACHERLI
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Credential | N/A
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Telephone | 951-270-5207
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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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