Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier |
| NPI Number | 1346630993 |
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| LBN Legal business name | BIG SOUTH FORK OXYGEN AND MEDICAL SUPPLIES | ||||||||
| Authorized official | PAULA ALLRED - (VICE PRESIDENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 02/03/2015 | ||||||||
| Last updated | 02/03/2015 - About 11 years ago | ||||||||
| Identifiers |
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