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General NPI Number Information
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NPI Number | 1487212528
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Entity Type | Organization
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Legal Business Name | BEL-REGIONAL HOME MEDICAL INC
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Dates
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Enumeration Date | 06/04/2019
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Last Update Date | 06/04/2019
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Provider Practice Location Address
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Address Line | 147 W WISCONSIN ST
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City | SEYMOUR
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State | WI
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Zip | 54165-1454
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Country | US
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Telephone | 920-833-2141
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Fax | 920-833-0319
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Provider Business Mailing Address
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Address Line | 147 W WISCONSIN ST
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City | SEYMOUR
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State | WI
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Zip | 54165-1454
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Country | US
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Telephone | 920-833-2141
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Fax | 920-833-0319
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Authorized Official
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Title or Position | SENIOR REIMBURSEMENT AND TAX COORDI
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Name | KEVIN JOHN MCGURK
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Credential |
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Telephone | 920-445-7260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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