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NPI 1144456039

NPI 1144456039 : AMERICAN HOME OXYGEN & HOSPITAL EQUIPMENT, INC : GAINESVILLE, FL

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General NPI Number Information
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    NPI Number           |    1144456039
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMERICAN HOME OXYGEN & HOSPITAL EQUIPMENT, INC 
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Dates
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    Enumeration Date     |    06/05/2009
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    Last Update Date     |    09/16/2010
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Provider Practice Location Address
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    Address Line         |    1201 NW 64TH TER SUITE B
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    City                 |    GAINESVILLE
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    State                |    FL
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    Zip                  |    32605-4220
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    Country              |    US
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    Telephone            |    352-373-4044
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    Fax                  |    352-373-5541
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Provider Business Mailing Address
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    Address Line         |    350 PINE ST SUITE 330
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    City                 |    BEAUMONT
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    State                |    TX
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    Zip                  |    77701-2437
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    Country              |    US
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    Telephone            |    409-951-6179
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    Fax                  |    203-702-6840
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     JEFFREY C BARNHARD 
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    Credential           |    
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    Telephone            |    203-837-2330
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    332BC3200X
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    Taxonomy Name        |    Customized Equipment (DME)
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    332BP3500X
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    Taxonomy Name        |    Parenteral & Enteral Nutrition Supplies (DME)
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    332BX2000X
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    Taxonomy Name        |    Oxygen Equipment & Supplies (DME)
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    License Number       |    324609
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    License Number State |    FL
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