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General NPI Number Information
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NPI Number | 1538187232
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Entity Type | Organization
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Legal Business Name | OXYMED INC
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 01/13/2010
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Provider Practice Location Address
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Address Line | 144 E MAIN ST SUITE 101
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City | HILLSBORO
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State | OH
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Zip | 45133-1612
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Country | US
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Telephone | 937-840-9047
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Fax | 937-840-0984
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Provider Business Mailing Address
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Address Line | 144 E MAIN ST SUITE 101
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City | HILLSBORO
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State | OH
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Zip | 45133-1612
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Country | US
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Telephone | 937-840-9047
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Fax | 937-840-0984
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Authorized Official
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Title or Position | PRESIDENT
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Name | RIC WREN
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Credential |
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Telephone | 937-840-9047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 02-1401900
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License Number State | OH
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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 | HMER.22300
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License Number State | OH
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