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General NPI Number Information
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NPI Number | 1740323658
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Entity Type | Organization
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Legal Business Name | HEARTLAND MEDICAL SUPPLY INC
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 10/09/2007
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Provider Practice Location Address
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Address Line | 204 US 27 S
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City | LAKE PLACID
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State | FL
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Zip | 33852-7900
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Country | US
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Telephone | 863-699-6155
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Fax | 863-465-9656
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Provider Business Mailing Address
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Address Line | 6360 US 27 N
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City | SEBRING
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State | FL
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Zip | 33870-1225
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER AND PRESIDENT
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Name | ROBERT DUNCAN
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Credential | RPH
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Telephone | 863-385-7673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH15581
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License Number State | FL
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