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General NPI Number Information
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NPI Number | 1962851378
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Entity Type | Organization
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Legal Business Name | OPTIMAL HEALTH SOLUTIONS
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Dates
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Enumeration Date | 06/07/2016
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Last Update Date | 11/19/2018
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Provider Practice Location Address
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Address Line | 390 N BROADWAY STE 1400
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City | PENNSVILLE
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State | NJ
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Zip | 08070
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Country | US
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Telephone | 800-980-9278
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Fax | 800-887-4198
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Provider Business Mailing Address
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Address Line | 390 N BROADWAY STE 1400
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City | PENNSVILLE
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State | NJ
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Zip | 08070-1259
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Country | US
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Telephone | 800-980-9278
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Fax | 800-887-4198
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Authorized Official
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Title or Position | OWNER
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Name | MR. RICHARD TYAS
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Credential |
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Telephone | 800-980-9278
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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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