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General NPI Number Information
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NPI Number | 1982000121
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Entity Type | Organization
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Legal Business Name | VALLEY OXYGEN
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Dates
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Enumeration Date | 11/17/2014
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Last Update Date | 11/17/2014
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Provider Practice Location Address
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Address Line | 1017 N DEMAREE ST SUITE B
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City | VISALIA
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State | CA
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Zip | 93291-4117
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Country | US
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Telephone | 559-697-6226
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Fax | 559-257-5799
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Provider Business Mailing Address
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Address Line | 3232 RIO MIRADA DR SUITE C2
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City | BAKERSFIELD
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State | CA
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Zip | 93308-4950
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Country | US
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Telephone | 661-589-6800
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Fax | 661-589-6805
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MR. DANIEL ACOSTA LUNA
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Credential |
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Telephone | 661-589-6800
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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 | 100-47780700010
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License Number State | CA
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