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General NPI Number Information
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NPI Number | 1770228678
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Entity Type | Organization
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Legal Business Name | OXYGEN HEALTH SYSTEMS
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Dates
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Enumeration Date | 05/04/2022
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Last Update Date | 07/25/2023
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Provider Practice Location Address
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Address Line | 6810 ROUTE 53 STE 206
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City | WOODRIDGE
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State | IL
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Zip | 60517-1415
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Country | US
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Telephone | 630-405-8414
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Fax |
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Provider Business Mailing Address
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Address Line | 2154 OAK CT
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City | NAPERVILLE
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State | IL
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Zip | 60565-2411
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Country | US
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Telephone | 331-229-7714
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MR. SHAH HAQ
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Credential | ENGINEER
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Telephone | 331-330-6728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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