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General NPI Number Information
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NPI Number | 1265859227
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Entity Type | Organization
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Legal Business Name | SUMMIT OXYGEN, INC.
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Dates
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Enumeration Date | 03/27/2014
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Last Update Date | 01/25/2017
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Provider Practice Location Address
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Address Line | 117 S. 6TH AVE. SUITE A-1
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City | FRISCO
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State | CO
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Zip | 80443-0722
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Country | US
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Telephone | 970-406-8518
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Fax | 888-977-3379
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Provider Business Mailing Address
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Address Line | PO BOX 722
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City | FRISCO
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State | CO
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Zip | 80443-0722
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Country | US
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Telephone | 970-406-8518
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Fax | 888-977-3379
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JEFFREY MILLER
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Credential | CRT
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Telephone | 970-406-8518
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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 | 28022567-0000
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License Number State | CO
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