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General NPI Number Information
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NPI Number | 1538178694
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Entity Type | Organization
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Legal Business Name | HOME PATIENT SUPPLY INC
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 07/23/2009
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Provider Practice Location Address
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Address Line | 4018 S SEMORAN BLVD
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City | ORLANDO
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State | FL
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Zip | 32822-4062
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Country | US
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Telephone | 407-657-0629
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Fax | 321-397-2189
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Provider Business Mailing Address
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Address Line | 4018 S SEMORAN BLVD
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City | ORLANDO
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State | FL
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Zip | 32822-4062
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Country | US
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Telephone | 407-657-0629
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Fax | 321-397-2189
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Authorized Official
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Title or Position | OWNER CFO
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Name | MRS. BINETTE ESPINEL
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Credential |
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Telephone | 407-657-0629
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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 | 3100027431
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License Number State | FL
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