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General NPI Number Information
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NPI Number | 1356367783
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Entity Type | Organization
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Legal Business Name | OCEANA HOME MEDICAL EQUIPMENT PLUS
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | 169 N MICHIGAN AVE
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City | SHELBY
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State | MI
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Zip | 49455-1024
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Country | US
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Telephone | 231-861-8240
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Fax | 231-861-8085
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Provider Business Mailing Address
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Address Line | 303 W 6TH ST
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City | SHELBY
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State | MI
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Zip | 49455-9692
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Country | US
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Telephone | 231-861-0276
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Fax | 231-861-0276
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | ENRIQUE RODRIGUEZ
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Credential |
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Telephone | 231-861-0276
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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 |
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License Number State | MI
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