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General NPI Number Information
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NPI Number | 1891867354
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Entity Type | Organization
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Legal Business Name | OXYGEN RICH, LLC
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 805 KINGS WAY
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City | WAKE VILLAGE
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State | TX
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Zip | 75501-5775
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Country | US
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Telephone | 903-831-7424
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Fax | 903-831-2384
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Provider Business Mailing Address
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Address Line | 1509 DOCTORS DR
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City | BOSSIER CITY
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State | LA
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Zip | 71111-3321
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Country | US
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Telephone | 318-746-6288
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Fax | 318-746-7911
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. CLAUDE FRIESLAND II
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Credential |
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Telephone | 318-746-6628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | ATP3803
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0092873
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License Number State | TX
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