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General NPI Number Information
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NPI Number | 1841600111
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Entity Type | Organization
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Legal Business Name | LOWER VALLEY HOME FURNISHINGS
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Dates
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Enumeration Date | 05/07/2014
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Last Update Date | 05/07/2014
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Provider Practice Location Address
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Address Line | 5690 LOWER VALLEY PIKE
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City | SPRINGFIELD
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State | OH
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Zip | 45502-9101
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Country | US
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Telephone | 937-882-6342
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Fax | 937-882-6343
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Provider Business Mailing Address
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Address Line | 5690 LOWER VALLEY PIKE
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City | SPRINGFIELD
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State | OH
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Zip | 45502-9101
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Country | US
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Telephone | 937-882-6342
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Fax | 937-882-6343
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Authorized Official
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Title or Position | TREASURER
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Name | MR. KELLY SULLIVAN
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Credential |
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Telephone | 937-882-6342
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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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