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General NPI Number Information
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NPI Number | 1457417354
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Entity Type | Organization
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Legal Business Name | AIRWAY OXYGEN, INC.
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 08/11/2016
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Provider Practice Location Address
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Address Line | 1804 E CENTER ST
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City | WARSAW
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State | IN
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Zip | 46580-3604
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Country | US
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Telephone | 574-268-0042
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Fax | 574-268-0084
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Provider Business Mailing Address
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Address Line | PO BOX 9950
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City | WYOMING
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State | MI
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Zip | 49509-9918
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Country | US
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Telephone | 616-247-3900
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Fax | 616-247-0776
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHEN W NYHUIS
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Credential |
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Telephone | 616-532-2375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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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 | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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