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General NPI Number Information
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NPI Number | 1598037632
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Entity Type | Organization
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Legal Business Name | SOUTHERN HOME MEDICAL LLC
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Dates
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Enumeration Date | 02/06/2012
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Last Update Date | 08/17/2012
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Provider Practice Location Address
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Address Line | 72 KENT RD SUITE 6
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City | TIFTON
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State | GA
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Zip | 31794-1694
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Country | US
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Telephone | 229-396-5501
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Fax | 229-396-5503
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Provider Business Mailing Address
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Address Line | 72 KENT RD SUITE 6
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City | TIFTON
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State | GA
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Zip | 31794-1694
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Country | US
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Telephone | 229-396-5501
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Fax | 229-396-5503
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Authorized Official
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Title or Position | OWNER
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Name | MR. MICHAEL RAYMOND CONNELL
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Credential |
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Telephone | 229-392-0194
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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 |
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License Number State | GA
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