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General NPI Number Information
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NPI Number | 1639195092
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Entity Type | Organization
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Legal Business Name | NIX'S MEDICAL SUPPLY, INC
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 103 SIOUX ST
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City | SALLISAW
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State | OK
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Zip | 74955-5229
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Country | US
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Telephone | 918-775-7778
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Fax | 918-775-7770
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Provider Business Mailing Address
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Address Line | PO BOX 940
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City | SALLISAW
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State | OK
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Zip | 74955-0940
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Country | US
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Telephone | 918-775-7778
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Fax | 918-775-7770
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. PATRICK DEAN NIX SR.
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Credential |
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Telephone | 918-775-7778
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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 |
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Taxonomy #2
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #3
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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 #4
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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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Taxonomy #5
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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