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General NPI Number Information
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NPI Number | 1285935072
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Entity Type | Organization
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Legal Business Name | HOMESUPPLY.NET
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Dates
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Enumeration Date | 11/09/2010
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Last Update Date | 08/22/2012
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Provider Practice Location Address
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Address Line | 702 HOLLY ST STE B
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City | ATLANTA
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State | TX
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Zip | 75551-2308
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Country | US
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Telephone | 903-796-1877
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Fax | 903-796-4350
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Provider Business Mailing Address
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Address Line | PO BOX 787
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City | ATLANTA
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State | TX
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Zip | 75551-0787
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Country | US
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Telephone | 903-244-1070
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Fax | 903-796-4350
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | MARK D HILL
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Credential |
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Telephone | 903-244-1070
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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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