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General NPI Number Information
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NPI Number | 1912930496
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Entity Type | Organization
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Legal Business Name | SAFLOY MEDICAL SUPPLY CORPORATION
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 08/18/2021
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Provider Practice Location Address
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Address Line | 2308 CREST PARK DR
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City | ARLINGTON
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State | TX
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Zip | 76006-2801
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Country | US
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Telephone | 817-652-4493
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Fax | 817-652-4431
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Provider Business Mailing Address
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Address Line | 2308 CREST PARK DR
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City | ARLINGTON
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State | TX
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Zip | 76006-2801
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Country | US
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Telephone | 817-652-4493
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Fax | 817-652-4431
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. FLORENCE MGBEDEM OKOLIE
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Credential |
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Telephone | 817-652-4493
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 0071383
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 0071383
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License Number State | TX
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