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General NPI Number Information
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NPI Number | 1669447785
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Entity Type | Organization
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Legal Business Name | PATIENT CHOICE OXYGEN AND MEDICAL SUPPLIES, INC.
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Dates
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Enumeration Date | 02/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 915 W MAIN ST
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City | TAVARES
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State | FL
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Zip | 32778-3133
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Country | US
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Telephone | 352-253-0740
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 560332
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City | MONTVERDE
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State | FL
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Zip | 34756-0332
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Country | US
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Telephone | 352-253-0740
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANGELA M BOOTH
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Credential |
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Telephone | 352-253-0740
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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 | 1649
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License Number State | FL
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