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General NPI Number Information
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NPI Number | 1720021868
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Entity Type | Organization
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Legal Business Name | PNEU-MED, INC.
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 05/14/2008
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Provider Practice Location Address
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Address Line | 3475 E AMAZON
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City | EUGENE
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State | OR
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Zip | 97405-0982
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Country | US
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Telephone | 800-636-2704
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Fax | 541-485-5529
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Provider Business Mailing Address
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Address Line | PO BOX 50490
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City | EUGENE
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State | OR
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Zip | 97405-0982
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Country | US
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Telephone | 800-636-2704
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Fax | 541-485-5529
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. STEPHANIE DIANE GLINES
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Credential |
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Telephone | 800-636-2704
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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 | NPC-0001897
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License Number State | OR
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