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General NPI Number Information
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NPI Number | 1821096199
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Entity Type | Organization
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Legal Business Name | PAL HOME DIAGNOSTICS&RESP.CARE
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1115D HILLCREST PKWY
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City | DUBLIN
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State | GA
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Zip | 31021-3555
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Country | US
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Telephone | 478-274-1653
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Fax | 478-274-0895
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Provider Business Mailing Address
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Address Line | 1115D HILLCREST PKWY
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City | DUBLIN
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State | GA
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Zip | 31021-3555
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Country | US
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Telephone | 478-274-1653
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Fax | 478-274-0895
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICIA A LOWERY II
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Credential | NDT CRTT
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Telephone | 478-274-1653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHRE008679
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License Number State | GA
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