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General NPI Number Information
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NPI Number | 1073514980
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Entity Type | Organization
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Legal Business Name | AMERICAN HOMEPATIENT, INC.
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 04/12/2016
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Provider Practice Location Address
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Address Line | 1200 SE 14TH ST SUITE 8
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City | BENTONVILLE
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State | AR
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Zip | 72712-7996
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Country | US
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Telephone | 479-273-1803
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Fax | 479-273-1805
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Provider Business Mailing Address
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Address Line | PO BOX 970592
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City | DALLAS
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State | TX
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Zip | 75397-0592
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Country | US
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Telephone | 501-537-2323
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Fax | 501-671-6801
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Authorized Official
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Title or Position | SR. VICE PRESIDENT
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Name | MR. GREG MCCARTHY
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Credential |
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Telephone | 727-530-7700
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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 | G00182
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License Number State | AR
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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 | WD03102
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License Number State | AR
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