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General NPI Number Information
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NPI Number | 1831360858
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Entity Type | Organization
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Legal Business Name | HOME CARE MEDICAL SUPPLIES INC
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Dates
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Enumeration Date | 03/18/2008
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Last Update Date | 03/18/2008
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Provider Practice Location Address
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Address Line | 11330 LAKEFIELD DR BLD # 2 STE 200
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City | DULUTH
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State | GA
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Zip | 30097-4425
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Country | US
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Telephone | 770-814-4113
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Fax | 770-814-4116
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Provider Business Mailing Address
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Address Line | 11330 LAKEFIELD DR BLD # 2 STE 200
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City | DULUTH
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State | GA
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Zip | 30097
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Country | US
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Telephone | 770-814-4113
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Fax | 770-814-4116
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Authorized Official
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Title or Position | CEO
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Name | MRS. RIMISHA M PATEL
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Credential | RPH
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Telephone | 770-814-4113
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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 |
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License Number State |
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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 |
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