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General NPI Number Information
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NPI Number | 1770156069
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Entity Type | Organization
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Legal Business Name | CAPSTONE HME INC
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Dates
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Enumeration Date | 07/23/2021
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Last Update Date | 07/23/2021
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Provider Practice Location Address
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Address Line | 6812 SPRING HILL RD
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City | RUCKERSVILLE
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State | VA
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Zip | 22968-3641
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Country | US
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Telephone | 434-202-7091
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Fax | 434-202-7471
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Provider Business Mailing Address
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Address Line | 2215 15TH ST
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City | TUSCALOOSA
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State | AL
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Zip | 35401-4610
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Country | US
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Telephone | 205-752-6260
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DANIEL PEAKE
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Credential |
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Telephone | 205-292-1514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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