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General NPI Number Information
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NPI Number | 1255437844
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Entity Type | Organization
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Legal Business Name | HOMETOWN MEDICAL LLC
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 07/22/2022
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Provider Practice Location Address
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Address Line | 814 BELMONT STREET
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City | VICKSBURG
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State | MS
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Zip | 39180
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Country | US
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Telephone | 601-634-6363
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Fax | 601-634-6380
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Provider Business Mailing Address
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Address Line | 1019 TOWN DR
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City | HIGHLAND HEIGHTS
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State | KY
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Zip | 41076-9114
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | GREGORY J CRAWFORD
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Credential |
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Telephone | 859-441-8876
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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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