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General NPI Number Information
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NPI Number | 1912390766
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Entity Type | Organization
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Legal Business Name | NOX HEALTH SOLUTIONS, LLC
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Dates
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Enumeration Date | 03/17/2015
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Last Update Date | 03/17/2015
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Provider Practice Location Address
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Address Line | 320 REGAL ROW SUITE 100
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City | DALLAS
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State | TX
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Zip | 75247-5200
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Country | US
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Telephone | 972-557-7000
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Fax | 972-557-7001
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Provider Business Mailing Address
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Address Line | 320 REGAL ROW SUITE 100
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City | DALLAS
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State | TX
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Zip | 75247-5200
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Country | US
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Telephone | 972-557-7000
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Fax | 972-557-7001
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Authorized Official
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Title or Position | MANAGER
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Name | JOSEPH YSBRAND
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Credential | D.C.
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Telephone | 817-372-1719
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 802172530
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License Number State | TX
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