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General NPI Number Information
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NPI Number | 1386564284
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Entity Type | Organization
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Legal Business Name | MEDIXA LLC
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 102 CONSER AVE APT 3
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City | POTEAU
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State | OK
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Zip | 74953-4814
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Country | US
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Telephone | 214-586-0590
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Fax | 213-449-3733
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Provider Business Mailing Address
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Address Line | 102 CONSER AVE APT 3
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City | POTEAU
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State | OK
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Zip | 74953-4814
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Country | US
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Telephone | 214-586-0590
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Fax | 213-449-3733
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Authorized Official
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Title or Position | OWNER
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Name | HAMZA GHUMMAN
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Credential |
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Telephone | 214-586-0590
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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 |
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