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General NPI Number Information
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NPI Number | 1356348924
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Entity Type | Organization
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Legal Business Name | A-AFFORDABLE HOME HEALTH CARE EQUIPMENT & SUPPLIES, INC.
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 11/14/2011
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Provider Practice Location Address
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Address Line | 1156 KAPP DR
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City | CLEARWATER
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State | FL
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Zip | 33765-2113
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Country | US
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Telephone | 727-449-1400
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Fax | 727-449-1446
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Provider Business Mailing Address
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Address Line | 1156 KAPP DR
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City | CLEARWATER
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State | FL
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Zip | 33765-2113
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Country | US
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Telephone | 727-449-1400
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Fax | 727-449-1446
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Authorized Official
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Title or Position | PRESIDENT
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Name | DALE A. EVANS
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Credential | ATP
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Telephone | 727-449-1400
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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 | 1417
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License Number State | FL
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