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General NPI Number Information
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NPI Number | 1629076062
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Entity Type | Organization
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Legal Business Name | PAL HOME DIAGNOSTICS & RESP.CARE
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 02/24/2017
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Provider Practice Location Address
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Address Line | 1115 D HILLCREST PKWY
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City | DUBLIN
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State | GA
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Zip | 31021-3555
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Country | US
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Telephone | 478-274-1653
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Fax | 478-274-0895
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Provider Business Mailing Address
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Address Line | 1115 D HILLCREST PKWY
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City | DUBLIN
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State | GA
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Zip | 31021-3555
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Country | US
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Telephone | 478-274-1653
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Fax | 478-274-0895
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICIA A LOWERY
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Credential | NDT CRTT
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Telephone | 478-274-1653
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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 | 0503093
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License Number State | GA
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