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General NPI Number Information
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NPI Number | 1346549284
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Entity Type | Organization
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Legal Business Name | PALMETTO OXYGEN, LLC
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Dates
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Enumeration Date | 03/17/2011
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Last Update Date | 09/10/2019
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Provider Practice Location Address
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Address Line | 2244 HENDERSON MILL RD NE STE 100
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City | ATLANTA
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State | GA
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Zip | 30345-2760
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Country | US
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Telephone | 404-252-4601
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Fax | 404-252-4631
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Provider Business Mailing Address
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Address Line | 220 W GERMANTOWN PIKE STE 250
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-1437
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Country | US
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Telephone | 410-409-8741
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LUKE MCGEE
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Credential |
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Telephone | 646-880-0473
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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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