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General NPI Number Information
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NPI Number | 1811909153
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Entity Type | Organization
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Legal Business Name | LANGLEY MEDICAL SUPPLY
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 01/28/2008
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Provider Practice Location Address
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Address Line | 35988 S HIGHWAY 82 UNIT B
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City | VINITA
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State | OK
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Zip | 74301-6747
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Country | US
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Telephone | 918-782-3335
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Fax | 918-782-3025
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Provider Business Mailing Address
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Address Line | 35988 S HIGHWAY 82 UNIT B
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City | VINITA
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State | OK
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Zip | 74301-6747
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Country | US
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Telephone | 918-782-3335
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Fax | 918-782-3025
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Authorized Official
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Title or Position | OWNER
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Name | MS. THERESA GAYE NORRIS
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Credential |
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Telephone | 918-782-3335
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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 | 860789
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License Number State | OK
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