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General NPI Number Information
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NPI Number | 1215215116
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Entity Type | Organization
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Legal Business Name | HOMETOWN OXYGEN PITTSBURGH LLC
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Dates
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Enumeration Date | 07/26/2011
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Last Update Date | 06/11/2013
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Provider Practice Location Address
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Address Line | 1138 N MAIN STREET EXT
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City | BUTLER
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State | PA
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Zip | 16001-1938
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Country | US
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Telephone | 724-287-6115
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Fax | 724-256-8716
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Provider Business Mailing Address
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Address Line | 35 SARHELM RD HOMETOWN OXYGEN PITTSBURGH LLC C/O DYNAMIC HEALTHCARE S
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City | HARRISBURG
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State | PA
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Zip | 17112-3339
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Country | US
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Telephone | 717-657-2100
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Fax | 717-920-0630
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Authorized Official
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Title or Position | COO
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Name | MR. MICHAEL T. CONNER
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Credential |
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Telephone | 412-373-1472
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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 |
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License Number State |
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