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NPI 1194775312

NPI 1194775312 : HUB'S HOME OXYGEN & MEDICAL SUPPLIES, INC : WELLSBORO, PA

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General NPI Number Information
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    NPI Number           |    1194775312
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    Entity Type          |    Organization 
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    Legal Business Name  |    HUB'S HOME OXYGEN & MEDICAL SUPPLIES, INC 
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Dates
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    Enumeration Date     |    05/10/2006
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    Last Update Date     |    11/29/2022
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Provider Practice Location Address
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    Address Line         |    86 MAIN ST 
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    City                 |    WELLSBORO
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    State                |    PA
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    Zip                  |    16901-1504
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    Country              |    US
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    Telephone            |    570-724-1515
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    Fax                  |    570-724-1654
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Provider Business Mailing Address
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    Address Line         |    220 W GERMANTOWN PIKE STE 250 
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    City                 |    PLYMOUTH MEETING
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    State                |    PA
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    Zip                  |    19462-1437
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    Country              |    US
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    Telephone            |    732-945-1020
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    Fax                  |    570-322-8582
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. STEPHEN  GRIGGS 
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    Credential           |    
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    Telephone            |    407-206-0040
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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       |    1000002758
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    License Number State |    PA
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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       |    1000002758
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    License Number State |    PA
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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       |    1000002758
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    License Number State |    PA
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Taxonomy #4
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    Taxonomy Code        |    335E00000X
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    Taxonomy Name        |    Prosthetic/Orthotic Supplier
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    License Number       |    1000002758
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    License Number State |    PA
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Taxonomy #5
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    Taxonomy Code        |    332BX2000X
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    Taxonomy Name        |    Oxygen Equipment & Supplies (DME)
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    License Number       |    1000002758
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    License Number State |    PA
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