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General NPI Number Information
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NPI Number | 1073652376
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Entity Type | Organization
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Legal Business Name | PHARMACIST HOME MEDICAL EQUIPMENT
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 226 N OAK AVE
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City | COOKEVILLE
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State | TN
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Zip | 38501-2438
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Country | US
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Telephone | 931-526-1055
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Fax | 931-526-1053
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Provider Business Mailing Address
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Address Line | 226 N OAK AVE
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City | COOKEVILLE
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State | TN
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Zip | 38501-2438
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Country | US
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Telephone | 931-526-1055
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Fax | 931-526-1053
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SAMUEL THOMAS ARMES
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Credential |
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Telephone | 931-836-6387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 0000000604
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License Number State | TN
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