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General NPI Number Information
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NPI Number | 1770516775
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Entity Type | Organization
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Legal Business Name | RICHARD A PARTIN
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 04/25/2008
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Provider Practice Location Address
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Address Line | 517 82ND ST
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City | LUBBOCK
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State | TX
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Zip | 79404-6337
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Country | US
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Telephone | 806-745-2551
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Fax | 806-745-5171
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Provider Business Mailing Address
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Address Line | PO BOX 3987
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City | LUBBOCK
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State | TX
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Zip | 79452-3987
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Country | US
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Telephone | 806-745-2551
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Fax | 806-745-5171
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Authorized Official
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Title or Position | MANAGER
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Name | MR. BOBBY ROYCE LOGAN
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Credential | RRT-NPS/RPSGT
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Telephone | 806-745-2551
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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 | 0034595
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License Number State | TX
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