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General NPI Number Information
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NPI Number | 1770796021
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Entity Type | Organization
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Legal Business Name | FAMILY CARE MEDICAL PRODUCTS INC
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 01/02/2009
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Provider Practice Location Address
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Address Line | 375 HIGHWAY 74 S STE A
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-2059
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Country | US
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Telephone | 770-487-1575
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3569
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City | PEACHTREE CITY
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State | GA
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Zip | 30269
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Country | US
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Telephone | 770-487-1484
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Fax | 770-487-1575
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. AMOS HENRY STONE JR.
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Credential |
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Telephone | 770-487-1484
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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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