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General NPI Number Information
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NPI Number | 1245266725
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Entity Type | Organization
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Legal Business Name | PRAXAIR HEALTHCARE SERVICES, INC.
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 02/11/2009
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Provider Practice Location Address
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Address Line | 1043 PEDIGO WAY SUITE 41
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City | BOWLING GREEN
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State | KY
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Zip | 42103-7196
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Country | US
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Telephone | 270-782-8219
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Fax | 409-654-2068
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Provider Business Mailing Address
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Address Line | 203 E 6100 S
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City | SALT LAKE CITY
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State | UT
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Zip | 84107-7302
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Country | US
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Telephone | 801-261-7139
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Fax | 801-288-5906
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Authorized Official
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Title or Position | PRESIDENT
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Name | SCOTT KALTRIDER
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Credential |
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Telephone | 203-837-2330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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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 | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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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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