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General NPI Number Information
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NPI Number | 1578939823
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Entity Type | Organization
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Legal Business Name | PATIENTS' CHOICE MEDICAL SUPPLIES
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Dates
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Enumeration Date | 08/20/2015
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Last Update Date | 10/14/2015
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Provider Practice Location Address
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Address Line | 1360 S CONSTITUTION AVE
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City | ASHDOWN
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State | AR
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Zip | 71822-8652
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Country | US
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Telephone | 870-898-7777
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Fax | 870-898-7779
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Provider Business Mailing Address
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Address Line | 1307 S MAIN ST
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City | SHATTUCK
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State | OK
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Zip | 73858-9222
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Country | US
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Telephone | 580-938-5436
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JILL GILSON
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Credential |
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Telephone | 580-938-5436
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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 |
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License Number State |
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