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General NPI Number Information
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NPI Number | 1598061186
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Entity Type | Organization
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Legal Business Name | PALMETTO OXYGEN, LLC
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Dates
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Enumeration Date | 01/31/2011
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Last Update Date | 06/26/2018
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Provider Practice Location Address
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Address Line | 7374 S ALTON WAY SUITE 202
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City | CENTENNIAL
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State | CO
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Zip | 80112
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Country | US
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Telephone | 303-740-2171
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Fax | 303-740-2175
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Provider Business Mailing Address
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Address Line | 104 CORPORATE BLVD STE 402
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-4600
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Country | US
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Telephone | 803-926-0252
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LUKE MCGEE
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Credential |
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Telephone | 646-880-0473
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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 | CEN-007010
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License Number State | CO
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