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General NPI Number Information
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NPI Number | 1356353031
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Entity Type | Organization
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Legal Business Name | ROXANNE M. OAKLEY
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 04/15/2009
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Provider Practice Location Address
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Address Line | 317 HERITAGE DR. SUITE 2
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City | OXFORD
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State | MS
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Zip | 38655-5402
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Country | US
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Telephone | 662-233-5279
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Fax |
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Provider Business Mailing Address
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Address Line | 317 HERITAGE DR. SUITE 2
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City | OXFORD
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State | MS
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Zip | 38655
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Country | US
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Telephone | 662-233-5279
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Fax | 662-233-6063
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ROXANNE MABRY OAKLEY
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Credential |
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Telephone | 662-233-5279
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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 | 06588/11.1
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License Number State | MS
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