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General NPI Number Information
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NPI Number | 1497721716
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Entity Type | Organization
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Legal Business Name | COMMONWEALTH HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 08/31/2020
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Provider Practice Location Address
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Address Line | 479 PINEY FOREST RD
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City | DANVILLE
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State | VA
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Zip | 24540-4044
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Country | US
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Telephone | 434-797-2332
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Fax | 434-797-9230
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Provider Business Mailing Address
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Address Line | 479 PINEY FOREST RD
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City | DANVILLE
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State | VA
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Zip | 24540-4044
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Country | US
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Telephone | 434-797-2332
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Fax | 434-799-4114
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Authorized Official
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Title or Position | ACCOUNTS RECEIVABLE SUPERVISOR
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Name | MRS. MICHELLE OLENICK
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Credential |
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Telephone | 434-797-2332
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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 | 00755
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License Number State | NC
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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 | 60-006105
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 0206008455
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License Number State | VA
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