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General NPI Number Information
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NPI Number | 1124228952
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Entity Type | Organization
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Legal Business Name | QUALITY HOME OXYGEN, INC.
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 07/19/2007
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Provider Practice Location Address
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Address Line | 825 WILSON DR
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City | RIDGELAND
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State | MS
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Zip | 39157-4514
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Country | US
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Telephone | 601-957-3162
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Fax | 601-957-2370
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Provider Business Mailing Address
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Address Line | 120 3RD ST
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City | MCCOMB
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State | MS
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Zip | 39648-4141
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Country | US
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Telephone | 601-684-9386
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Fax | 601-684-1055
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MR. JOEY FELDER
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Credential |
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Telephone | 601-684-9376
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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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