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General NPI Number Information
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NPI Number | 1578645446
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Entity Type | Organization
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Legal Business Name | AT HOME HEALTH EQUIPMENT, LLC
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 02/25/2022
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Provider Practice Location Address
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Address Line | 4309 W 96TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-1115
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Country | US
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Telephone | 317-872-9702
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Fax | 317-872-9704
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Provider Business Mailing Address
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Address Line | 1019 TOWN DR
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City | HIGHLAND HEIGHTS
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State | KY
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Zip | 41076-9114
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Country | US
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Telephone | 859-441-8876
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | GREGORY J CRAWFORD
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Credential |
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Telephone | 859-441-8876
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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 | 69000078A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 69000078A
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License Number State | IN
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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 | 69000078A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 69000078A
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License Number State | IN
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