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General NPI Number Information
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NPI Number | 1477564375
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Entity Type | Organization
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Legal Business Name | HOME THERAPY INC.
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 02/17/2021
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Provider Practice Location Address
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Address Line | 135 E MAIN ST
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City | ADAMSVILLE
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State | TN
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Zip | 38310-2315
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Country | US
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Telephone | 731-632-9820
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Fax | 866-430-7946
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Provider Business Mailing Address
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Address Line | 119 W MAIN ST
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City | ADAMSVILLE
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State | TN
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Zip | 38310-4961
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Country | US
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Telephone | 731-632-9820
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Fax | 866-430-7946
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Authorized Official
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Title or Position | PRESIDENT
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Name | LORRAINE BUCKNER
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Credential |
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Telephone | 731-632-9820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 0000000939
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 0000000939
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0000000939
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License Number State | TN
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