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General NPI Number Information
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NPI Number | 1841303195
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Entity Type | Organization
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Legal Business Name | OMNI HEALTH CORP
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 234 TYSON AVE
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City | PARIS
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State | TN
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Zip | 38242-5853
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Country | US
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Telephone | 731-642-7365
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5047
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City | MERIDIAN
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State | MS
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Zip | 39302-5047
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | J NICHOLS
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Credential |
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Telephone | 731-642-7365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | 1062
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License Number State | TN
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