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General NPI Number Information
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NPI Number | 1891832663
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Entity Type | Organization
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Legal Business Name | O2-4-U
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 231 CENTER COURT
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City | VENICE
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State | FL
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Zip | 34285
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Country | US
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Telephone | 941-496-8200
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Fax | 941-496-8227
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Provider Business Mailing Address
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Address Line | 231 CENTER COURT
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City | VENICE
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State | FL
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Zip | 34285
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Country | US
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Telephone | 941-496-8200
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Fax | 941-496-8227
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Authorized Official
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Title or Position | OWNER CEO
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Name | MR. JOHN E RIDLEY
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Credential |
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Telephone | 941-496-8200
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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 |
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License Number State |
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