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General NPI Number Information
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NPI Number | 1164494639
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Entity Type | Organization
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Legal Business Name | HOME MEDICAL EQUIPMENT CENTER
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 04/02/2008
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Provider Practice Location Address
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Address Line | 820 N BROADWAY STREET
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City | MENOMONIE
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State | WI
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Zip | 54751-1513
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Country | US
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Telephone | 715-235-0900
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Fax | 715-235-2332
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Provider Business Mailing Address
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Address Line | 820 N BROADWAY STREET
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City | MENOMONIE
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State | WI
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Zip | 54751-1513
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Country | US
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Telephone | 715-235-0900
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Fax | 715-235-2332
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Authorized Official
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Title or Position | OWNER
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Name | DAVID ERNEST JOHNSON
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Credential |
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Telephone | 715-235-0900
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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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