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General NPI Number Information
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NPI Number | 1669581450
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Entity Type | Organization
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Legal Business Name | OXY-CARE, INC
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3201 CHERRY RIDGE ST STE 103
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City | SAN ANTONIO
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State | TX
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Zip | 78230-4824
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Country | US
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Telephone | 210-377-1317
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Fax | 210-342-0936
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Provider Business Mailing Address
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Address Line | PO BOX 40367
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City | SAN ANTONIO
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State | TX
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Zip | 78229-1367
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Country | US
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Telephone | 210-377-1317
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Fax | 210-342-0936
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. TINA DUTCHOVER
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Credential |
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Telephone | 210-377-1317
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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 | 0043094
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License Number State | TX
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