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General NPI Number Information
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NPI Number | 1043554595
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Entity Type | Organization
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Legal Business Name | SAFE HOME PRO, INC.
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Dates
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Enumeration Date | 11/23/2012
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Last Update Date | 11/23/2012
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Provider Practice Location Address
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Address Line | 18635 STARCREEK DR SUITE B
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City | CORNELIUS
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State | NC
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Zip | 28031-9341
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Country | US
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Telephone | 704-948-4125
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Fax | 336-419-4511
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Provider Business Mailing Address
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Address Line | PO BOX 725
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City | HUNTERSVILLE
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State | NC
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Zip | 28070-0725
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Country | US
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Telephone | 704-948-4125
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Fax | 336-419-4511
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | MR. ADAM C LASARSKY
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Credential |
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Telephone | 704-604-5317
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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 | 02011
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License Number State | NC
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