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General NPI Number Information
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NPI Number | 1245936681
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Entity Type | Organization
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Legal Business Name | OXYCARE PLUS, INC
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Dates
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Enumeration Date | 02/07/2023
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 2411 S LAMAR BLVD STE A
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City | OXFORD
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State | MS
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Zip | 38655-5432
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Country | US
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Telephone | 662-550-4142
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Fax | 662-550-4141
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Provider Business Mailing Address
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Address Line | 404 WILKINS WISE RD STE 3
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City | COLUMBUS
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State | MS
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Zip | 39705-1711
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Country | US
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Telephone | 662-329-9095
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Fax | 662-329-8699
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | BRYAN LOGAN
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Credential |
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Telephone | 662-329-9095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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