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General NPI Number Information
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NPI Number | 1437493574
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Entity Type | Organization
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Legal Business Name | QUALITY HOME MEDICAL INC
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 07/10/2014
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Provider Practice Location Address
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Address Line | 362 N PINE ST
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City | SPARTANBURG
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State | SC
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Zip | 29302
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Country | US
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Telephone | 864-599-9945
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Fax | 864-599-7713
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Provider Business Mailing Address
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Address Line | 130 ROGERS COMMERCE BLVD
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City | BOILING SPRINGS
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State | SC
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Zip | 29316-6144
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Country | US
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Telephone | 864-599-9945
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Fax | 864-599-7713
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Authorized Official
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Title or Position | VICE PRESIDENT OF OPERATIONS
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Name | CHARLES FULLER
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Credential |
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Telephone | 864-599-9945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 042543382
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License Number State | SC
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