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General NPI Number Information
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NPI Number | 1194756361
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Entity Type | Organization
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Legal Business Name | STULTZ HOME MEDICAL SUPPLIES INC
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 1615 ASHLAND RD
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City | GREENUP
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State | KY
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Zip | 41144-1207
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Country | US
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Telephone | 606-831-1129
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Fax | 606-473-7174
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Provider Business Mailing Address
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Address Line | 1615 ASHLAND RD
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City | GREENUP
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State | KY
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Zip | 41144-1207
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Country | US
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Telephone | 606-473-7346
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Fax | 606-473-5667
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRAD STULTZ
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Credential |
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Telephone | 606-473-7346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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