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General NPI Number Information
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NPI Number | 1427071307
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Entity Type | Organization
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Legal Business Name | BUCKEYE HOME HEALTH CENTER, INC.
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 05/10/2021
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Provider Practice Location Address
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Address Line | 950 BAKER HWY STE #2
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City | HUNTSVILLE
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State | TN
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Zip | 37756
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Country | US
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Telephone | 423-663-4663
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Fax | 423-663-4250
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Provider Business Mailing Address
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Address Line | PO BOX 1197
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City | JAMESTOWN
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State | TN
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Zip | 38556
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Country | US
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Telephone | 931-879-9926
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Fax | 931-752-7849
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. PAULA J FRAZIER
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Credential | DPH
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Telephone | 931-879-9926
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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 | 508
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License Number State | TN
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