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General NPI Number Information
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NPI Number | 1487617098
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Entity Type | Organization
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Legal Business Name | RESPIRATORY AT HOME, CORP
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 10/28/2009
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Provider Practice Location Address
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Address Line | 260 WEST 5TH STREET
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City | COOKEVILLE
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State | TN
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Zip | 38501-2551
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Country | US
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Telephone | 931-528-7993
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Fax | 931-525-6509
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Provider Business Mailing Address
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Address Line | 1235 MCARTHUR DRIVE
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City | MANCHESTER
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State | TN
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Zip | 37355-2423
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Country | US
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Telephone | 931-723-3780
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Fax | 931-217-7679
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FRANK M. JARRELL
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Credential | RRT
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Telephone | 931-723-3780
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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 | 0000000639
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License Number State | TN
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