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General NPI Number Information
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NPI Number | 1730669136
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Entity Type | Organization
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Legal Business Name | OG MEDICAL SUPPLIES
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Dates
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Enumeration Date | 08/15/2018
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Last Update Date | 11/29/2018
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Provider Practice Location Address
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Address Line | 1001 E SAMPLE RD STE 5E
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City | POMPANO BEACH
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State | FL
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Zip | 33064-5147
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Country | US
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Telephone | 954-933-3653
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 E SAMPLE RD STE 5E
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City | POMPANO BEACH
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State | FL
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Zip | 33064-5147
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | OSCAR GAREA
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Credential |
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Telephone | 850-300-1564
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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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