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General NPI Number Information
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NPI Number | 1780981647
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Entity Type | Organization
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Legal Business Name | ADVANTAGE HOME OXYGEN & RESPIRATORY SERVICES, INC
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Dates
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Enumeration Date | 02/11/2011
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Last Update Date | 02/11/2011
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Provider Practice Location Address
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Address Line | 225 N 3RD ST
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City | CLEARFIELD
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State | PA
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Zip | 16830-2524
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Country | US
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Telephone | 814-765-3338
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Fax | 814-765-3378
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Provider Business Mailing Address
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Address Line | PO BOX 276
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City | DU BOIS
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State | PA
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Zip | 15801-0276
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Country | US
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Telephone | 814-375-7990
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Fax | 814-375-2341
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | ROBERT FORBES
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Credential | CRT
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Telephone | 814-765-3338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 3000008708
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License Number State | PA
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