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General NPI Number Information
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NPI Number | 1417980673
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Entity Type | Organization
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Legal Business Name | OUNCE OF PREVENTION SERVICES, LLC
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 102 W. MAINE ST
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City | COVINGTON
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State | OK
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Zip | 73730-0017
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Country | US
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Telephone | 580-864-7467
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Fax | 580-864-7468
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Provider Business Mailing Address
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Address Line | PO BOX 3
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City | COVINGTON
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State | OK
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Zip | 73730-0003
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Country | US
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Telephone | 580-864-7467
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Fax | 580-864-7468
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Authorized Official
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Title or Position | OWNER-MEMBER
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Name | ELOUISE FAUBION
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Credential |
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Telephone | 580-864-7467
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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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