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General NPI Number Information
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NPI Number | 1790826154
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Entity Type | Organization
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Legal Business Name | OLEN MEDICAL INC
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 415 S SUMMIT ST
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City | ARKANSAS CITY
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State | KS
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Zip | 67005-2850
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Country | US
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Telephone | 620-442-8079
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Fax | 620-442-8083
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Provider Business Mailing Address
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Address Line | 415 S SUMMIT ST
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City | ARKANSAS CITY
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State | KS
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Zip | 67005-2850
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Country | US
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Telephone | 620-442-8079
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Fax | 620-442-8083
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL L WALKER
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Credential |
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Telephone | 620-442-8079
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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 | 10080654A
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 10080654A
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License Number State | KS
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