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NPI 1467667394

NPI 1467667394 : HEALTH MED-EQUIP & SUPPLIES LLC : SEBRING, FL

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General NPI Number Information
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    NPI Number           |    1467667394
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALTH MED-EQUIP & SUPPLIES LLC 
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Dates
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    Enumeration Date     |    05/14/2007
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    Last Update Date     |    08/02/2007
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Provider Practice Location Address
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    Address Line         |    130-A E CENTER AVE 
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    City                 |    SEBRING
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    State                |    FL
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    Zip                  |    33870-3501
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    Country              |    US
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    Telephone            |    863-386-4003
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    Fax                  |    863-386-4006
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Provider Business Mailing Address
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    Address Line         |    130-A E CENTER AVE 
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    City                 |    SEBRING
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    State                |    FL
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    Zip                  |    33870-3501
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    Country              |    US
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    Telephone            |    863-386-4003
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    Fax                  |    863-386-4006
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. ALAIN J HERNANDEZ 
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    Credential           |    
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    Telephone            |    786-255-4956
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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       |    PENDING
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    License Number State |    FL
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