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General NPI Number Information
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NPI Number | 1619128212
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Entity Type | Organization
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Legal Business Name | DM MEDICAL CARE INC.
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Dates
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Enumeration Date | 10/02/2008
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Last Update Date | 07/07/2009
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Provider Practice Location Address
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Address Line | 200 S RANCHWOOD BLVD SUITE #6
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City | YUKON
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State | OK
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Zip | 73099-2740
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Country | US
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Telephone | 405-494-7788
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Fax | 405-494-7789
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Provider Business Mailing Address
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Address Line | 200 S RANCHWOOD BLVD SUITE #6
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City | YUKON
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State | OK
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Zip | 73099-2909
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Country | US
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Telephone | 405-494-7788
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Fax | 405-494-7789
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Authorized Official
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Title or Position | CEO
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Name | MR. GARY M. BIRCH
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Credential |
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Telephone | 405-863-1707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | OK
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