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General NPI Number Information
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NPI Number | 1639722143
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Entity Type | Organization
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Legal Business Name | OAK TREE MEDICAL LLC
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Dates
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Enumeration Date | 07/23/2019
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Last Update Date | 01/17/2020
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Provider Practice Location Address
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Address Line | 13080 SW 248TH ST STE 8
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City | HOMESTEAD
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State | FL
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Zip | 33032-5713
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Country | US
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Telephone | 786-404-1120
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Fax |
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Provider Business Mailing Address
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Address Line | 12938 SW 252ND TER # 608
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City | HOMESTEAD
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State | FL
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Zip | 33032-9047
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Country | US
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Telephone | 561-800-6985
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ESTEBAN GARCIA
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Credential |
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Telephone | 786-404-1120
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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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