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General NPI Number Information
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NPI Number | 1306961446
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Entity Type | Organization
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Legal Business Name | HOMETOWN MEDICAL EQUIPMENT LLC
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 321 MAIN ST
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City | LAKE VILLAGE
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State | AR
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Zip | 71653-1941
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Country | US
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Telephone | 870-265-4100
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Fax | 870-265-6047
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Provider Business Mailing Address
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Address Line | PO BOX 329
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City | LAKE VILLAGE
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State | AR
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Zip | 71653-0329
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Country | US
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Telephone | 870-265-4100
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Fax | 870-265-6047
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Authorized Official
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Title or Position | OWNER
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Name | DIANE CAROTHERS
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Credential |
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Telephone | 870-265-4100
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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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