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General NPI Number Information
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NPI Number | 1619010642
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Entity Type | Organization
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Legal Business Name | PLEASANT VALLEY HOME MEDICAL EQUIPMENT, INC.
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 10/11/2016
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Provider Practice Location Address
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Address Line | 300 CLAY LICK RD
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City | RIPLEY
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State | WV
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Zip | 25271-9224
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Country | US
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Telephone | 304-372-5393
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Fax | 304-372-5399
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Provider Business Mailing Address
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Address Line | 300 CLAY LICK RD
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City | RIPLEY
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State | WV
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Zip | 25271-9224
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Country | US
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Telephone | 304-372-5393
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Fax | 304-372-5399
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Authorized Official
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Title or Position | CONTROLLER
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Name | MRS. DANA RICHARDSON
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Credential |
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Telephone | 304-675-4340
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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 |
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