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General NPI Number Information
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NPI Number | 1427446160
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Entity Type | Organization
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Legal Business Name | OSA HEALTHCARE INC
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Dates
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Enumeration Date | 01/05/2015
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Last Update Date | 01/05/2015
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Provider Practice Location Address
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Address Line | 1215 EAGLES LANDING PKWY STE 209B
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-7280
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Country | US
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Telephone | 770-389-0605
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Fax | 866-807-3315
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Provider Business Mailing Address
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Address Line | 1215 EAGLES LANDING PKWY STE 209B
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-7280
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Country | US
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Telephone | 770-389-0605
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Fax | 866-807-3315
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Authorized Official
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Title or Position | CEO
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Name | DONTE WILLIAMS
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Credential |
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Telephone | 770-389-0605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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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 | 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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