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General NPI Number Information
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NPI Number | 1285638122
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Entity Type | Organization
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Legal Business Name | O2 ECT., INC
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2442 VISCOUNT ROW
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City | ORLANDO
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State | FL
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Zip | 32809-6218
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Country | US
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Telephone | 407-582-0493
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Fax | 407-582-0498
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Provider Business Mailing Address
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Address Line | 4800 SW 51ST STREET SUITE 105
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City | DAVIE
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State | FL
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Zip | 33314
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Country | US
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Telephone | 954-792-7902
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Fax | 954-792-0217
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Authorized Official
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Title or Position | CEO
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Name | MS. ROBERT SNYDER
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Credential |
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Telephone | 954-792-7902
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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 | PH19282
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License Number State | FL
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