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General NPI Number Information
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NPI Number | 1942491089
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Entity Type | Organization
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Legal Business Name | GUARDIAN HEALTH CARE, INC.
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 01/09/2008
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Provider Practice Location Address
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Address Line | 2422 N 32ND ST
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City | MUSKOGEE
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State | OK
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Zip | 74401-2243
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Country | US
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Telephone | 918-686-7662
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Fax | 918-686-7664
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Provider Business Mailing Address
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Address Line | 2422 N 32ND ST
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City | MUSKOGEE
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State | OK
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Zip | 74401-2243
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Country | US
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Telephone | 918-686-7662
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Fax | 918-686-7664
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TERRY L. HOPKINS
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Credential | R.PSG.T.
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Telephone | 918-521-0825
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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 |
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License Number State |
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