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General NPI Number Information
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NPI Number | 1023190428
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Entity Type | Organization
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Legal Business Name | PHARMACISTS' HOME MEDICAL INC
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 02/15/2012
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Provider Practice Location Address
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Address Line | 709 N MAIN ST STE B
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City | HEREFORD
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State | TX
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Zip | 79045-5250
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Country | US
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Telephone | 806-363-2535
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Fax | 806-363-2570
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Provider Business Mailing Address
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Address Line | 25 MEDICAL DR SUITE B
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City | AMARILLO
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State | TX
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Zip | 79106-4169
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Country | US
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Telephone | 806-242-9300
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Fax | 806-242-9302
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Authorized Official
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Title or Position | SEC./TREAS
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Name | MR. DAVID A TAYLOR
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Credential |
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Telephone | 806-242-9300
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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 | 0079701
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License Number State | TX
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