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NPI 1700855616

NPI 1700855616 : AMERICAN HOMEPATIENT, INC. : ROSWELL, NM

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General NPI Number Information
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    NPI Number           |    1700855616
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMERICAN HOMEPATIENT, INC. 
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Dates
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    Enumeration Date     |    03/14/2006
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    Last Update Date     |    04/07/2016
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Provider Practice Location Address
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    Address Line         |    3107 N MAIN ST SUITE B
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    City                 |    ROSWELL
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    State                |    NM
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    Zip                  |    88201-6677
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    Country              |    US
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    Telephone            |    505-622-5612
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    Fax                  |    505-624-1897
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Provider Business Mailing Address
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    Address Line         |    PO BOX 676458 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75267-6458
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    Country              |    US
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    Telephone            |    505-243-3993
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    Fax                  |    505-243-3999
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Authorized Official
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    Title or Position    |    COO
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    Name                 |    MR. GREG  MCCARTHY 
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    Credential           |    
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    Telephone            |    727-530-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332BP3500X
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    Taxonomy Name        |    Parenteral & Enteral Nutrition Supplies (DME)
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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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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