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General NPI Number Information
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NPI Number | 1164974077
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Entity Type | Organization
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Legal Business Name | OXY-PAM INC
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 08/06/2019
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Provider Practice Location Address
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Address Line | 7841 W. OAKLAND PARK BLVD STE 301
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City | LAUDERHILL
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State | FL
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Zip | 33319
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Country | US
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Telephone | 678-851-8680
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Fax | 770-282-3605
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Provider Business Mailing Address
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Address Line | 7841 W. OAKLAND PARK BLVD STE 301
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City | LAUDERHILL
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State | FL
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Zip | 33319
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Country | US
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Telephone | 678-851-8680
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Fax | 770-282-3605
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MISS PAMELA ELAINE COULTON
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Credential |
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Telephone | 678-851-8680
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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 | GA
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