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General NPI Number Information
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NPI Number | 1265872915
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Entity Type | Organization
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Legal Business Name | HIGH PLAINS HOME MEDICAL EQUIPMENT, INC.
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Dates
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Enumeration Date | 06/26/2013
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Last Update Date | 06/26/2013
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Provider Practice Location Address
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Address Line | 1017 E 1ST ST
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City | DUMAS
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State | TX
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Zip | 79029-3340
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Country | US
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Telephone | 806-934-4664
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Fax |
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Provider Business Mailing Address
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Address Line | 2921 W INTERSTATE 40 SUITE 1200
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City | AMARILLO
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State | TX
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Zip | 79109-1616
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Country | US
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Telephone | 806-457-1080
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Fax | 806-467-8368
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL MAYNARD
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Credential |
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Telephone | 806-457-1080
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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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