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General NPI Number Information
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NPI Number | 1124176359
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Entity Type | Organization
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Legal Business Name | FAMILY HOME MEDICAL INC
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 04/07/2014
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Provider Practice Location Address
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Address Line | 5525 DEWEY DRIVE SUITE 106A
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City | FAIR OAKS
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State | CA
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Zip | 95628-3130
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Country | US
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Telephone | 916-925-7009
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Fax | 888-577-6924
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Provider Business Mailing Address
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Address Line | PO BOX 2597
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City | MARYSVILLE
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State | CA
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Zip | 95901-0009
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Country | US
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Telephone | 916-925-7009
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Fax | 888-577-6924
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | SCOTT THOMAS FIX
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Credential |
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Telephone | 916-925-7009
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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 | 23663
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License Number State | CA
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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 | 59510
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License Number State | CA
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