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General NPI Number Information
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NPI Number | 1427357409
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Entity Type | Organization
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Legal Business Name | OAKLEAF TECHNOLOGIES
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Dates
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Enumeration Date | 03/16/2011
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Last Update Date | 03/16/2011
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Provider Practice Location Address
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Address Line | 3137 STONEBRIER RIDGE DR
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City | ORANGE PARK
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State | FL
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Zip | 32065-2247
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Country | US
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Telephone | 904-608-6293
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Fax |
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Provider Business Mailing Address
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Address Line | 3137 STONEBRIER RIDGE DR
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City | ORANGE PARK
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State | FL
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Zip | 32065-2247
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | RESPIRATORY THERAPIST
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Name | MR. DAVID SYLVESTER
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Credential | CRT
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Telephone | 904-608-6293
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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 | TT12269
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License Number State | FL
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