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General NPI Number Information
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NPI Number | 1821273491
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Entity Type | Organization
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Legal Business Name | OXFORD PHYSICAL MEDICINE
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Dates
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Enumeration Date | 01/02/2008
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Last Update Date | 01/02/2008
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Provider Practice Location Address
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Address Line | 703 N LAMAR BLVD
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City | OXFORD
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State | MS
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Zip | 38655-3242
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Country | US
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Telephone | 601-366-9261
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2395
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City | OXFORD
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State | MS
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Zip | 38655-7000
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Country | US
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Telephone | 601-366-9261
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Fax |
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Authorized Official
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Title or Position | BILLING
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Name | RON MILONE
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Credential |
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Telephone | 601-366-9261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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