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General NPI Number Information
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NPI Number | 1750399762
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Entity Type | Organization
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Legal Business Name | ADVANCED HOME CARE INC
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 02/01/2012
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Provider Practice Location Address
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Address Line | 302 BAY ST
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City | GADSDEN
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State | AL
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Zip | 35901
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Country | US
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Telephone | 256-549-0630
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Fax | 256-549-0633
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Provider Business Mailing Address
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Address Line | PO BOX 27
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City | GADSDEN
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State | AL
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Zip | 35902
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Country | US
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Telephone | 256-549-0630
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Fax | 256-549-0633
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Authorized Official
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Title or Position | CEO
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Name | MRS. JUDY K CAMPBELL
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Credential | PRESIDENT
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Telephone | 256-549-0630
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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 | AL
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | AL
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