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General NPI Number Information
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NPI Number | 1265482731
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Entity Type | Organization
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Legal Business Name | HOME HEALTH RESOURCE, INC.
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 10/29/2015
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Provider Practice Location Address
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Address Line | 4361 TECHNOLOGY DR SUITE C
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City | LIVERMORE
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State | CA
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Zip | 94551-4989
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Country | US
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Telephone | 510-352-9592
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Fax | 510-352-4580
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Provider Business Mailing Address
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Address Line | 4361 TECHNOLOGY DR SUITE C
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City | LIVERMORE
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State | CA
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Zip | 94551-4989
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Country | US
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Telephone | 510-352-9592
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Fax | 510-352-4580
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ALBERT G WARMERDAM
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Credential | R.R.T.
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Telephone | 510-352-9592
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 76358
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 76358
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License Number State | CA
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