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General NPI Number Information
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NPI Number | 1003145525
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Entity Type | Organization
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Legal Business Name | SUBURBAN HOME MEDICAL, INC
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Dates
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Enumeration Date | 12/11/2009
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Last Update Date | 06/21/2010
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Provider Practice Location Address
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Address Line | 119 S MAIN ST
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City | COLCHESTER
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State | CT
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Zip | 06415-1456
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Country | US
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Telephone | 860-537-3436
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Fax |
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Provider Business Mailing Address
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Address Line | 141 SOUTH ST
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City | WEST HARTFORD
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State | CT
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Zip | 06110-1963
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Country | US
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Telephone | 860-236-0755
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Fax | 860-570-1264
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | GREG CZAPIGA
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Credential |
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Telephone | 860-899-3700
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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 |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #4
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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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