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NPI 1376612515

NPI 1376612515 : OXIMETRY CO LLC : CLINTON TOWNSHIP, MI

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General NPI Number Information
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    NPI Number           |    1376612515
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    Entity Type          |    Organization 
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    Legal Business Name  |    OXIMETRY CO LLC 
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Dates
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    Enumeration Date     |    11/06/2006
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    Last Update Date     |    01/22/2010
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Provider Practice Location Address
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    Address Line         |    15760 19 MILE RD STE F
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    City                 |    CLINTON TOWNSHIP
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    State                |    MI
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    Zip                  |    48038-6319
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    Country              |    US
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    Telephone            |    586-416-2550
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    15760 19 MILE RD STE F
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    City                 |    CLINTON TOWNSHIP
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    State                |    MI
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    Zip                  |    48038-6319
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    Country              |    US
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    Telephone            |    586-416-2550
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |     KAREN  KATOPODES 
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    Credential           |    
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    Telephone            |    586-416-2550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    293D00000X
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    Taxonomy Name        |    Physiological Laboratory
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    4301046328
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    License Number State |    MI
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Taxonomy #3
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    Taxonomy Code        |    2080P0203X
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    Taxonomy Name        |    Pediatric Critical Care Medicine Physician
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    License Number       |    4301046328
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    License Number State |    MI
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Taxonomy #4
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    Taxonomy Code        |    173F00000X
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    Taxonomy Name        |    Sleep Specialist (PhD)
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    License Number       |    
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    License Number State |    
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