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General NPI Number Information
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NPI Number | 1073592952
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Entity Type | Organization
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Legal Business Name | HOME OXYGEN & EQUIPMENT CO INC
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Dates
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Enumeration Date | 01/10/2006
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Last Update Date | 09/13/2012
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Provider Practice Location Address
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Address Line | 8212 ITHACA AVE STE E-G
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City | LUBBOCK
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State | TX
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Zip | 79423
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Country | US
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Telephone | 806-792-8727
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Fax | 806-792-8786
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Provider Business Mailing Address
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Address Line | 8212 ITHACA AVE STE W10
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City | LUBBOCK
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State | TX
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Zip | 79423-2632
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Country | US
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Telephone | 806-792-8727
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Fax | 806-792-8786
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Authorized Official
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Title or Position | OWNER
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Name | TERRI ANN SHURTLEFF
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Credential |
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Telephone | 806-792-8727
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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 | 0034585
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License Number State | TX
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