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General NPI Number Information
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NPI Number | 1144345240
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Entity Type | Organization
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Legal Business Name | PRO OXY RESPIRATORY SERVICES INC
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 03/30/2011
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Provider Practice Location Address
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Address Line | AVE AMERICO MIRANDA #951
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City | SAN JUAN
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State | PR
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Zip | 00921-2801
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Country | US
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Telephone | 787-749-9744
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Fax | 787-754-1619
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Provider Business Mailing Address
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Address Line | 951 AVE AMERICO MIRANDA
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City | SAN JUAN
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State | PR
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Zip | 00921-2801
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Country | US
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Telephone | 787-749-9744
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Fax | 787-754-1619
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAIME SEPULVEDA
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Credential |
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Telephone | 787-749-9744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 08P1347
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License Number State | PR
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