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General NPI Number Information
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NPI Number | 1164728861
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Entity Type | Organization
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Legal Business Name | SOS MEDICAL, LLC
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Dates
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Enumeration Date | 01/28/2011
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Last Update Date | 03/19/2012
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Provider Practice Location Address
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Address Line | 12820 S MEMORIAL DR #118
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City | BIXBY
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State | OK
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Zip | 74008-2580
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Country | US
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Telephone | 918-970-2916
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Fax | 918-970-2917
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Provider Business Mailing Address
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Address Line | 12820 S MEMORIAL DR #118
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City | BIXBY
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State | OK
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Zip | 74008-2580
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Country | US
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Telephone | 918-970-2916
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Fax | 918-970-2917
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Authorized Official
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Title or Position | MANAGER
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Name | MR. TERRY GLENN ARGUE
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Credential |
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Telephone | 918-625-9900
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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 | OK
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