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General NPI Number Information
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NPI Number | 1841770195
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Entity Type | Organization
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Legal Business Name | A HEALTHYCHOICE DME LLC
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Dates
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Enumeration Date | 08/16/2018
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Last Update Date | 08/16/2018
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Provider Practice Location Address
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Address Line | 3015 HERITAGE RD NE STE 3
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-8202
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Country | US
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Telephone | 478-453-1325
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Fax | 478-452-0256
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Provider Business Mailing Address
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Address Line | 1958-6 BOX 150 N. COLUMBIA ST
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061
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Country | US
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Telephone | 478-453-1325
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Fax | 478-452-0256
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Authorized Official
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Title or Position | MANAGER
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Name | PAMELA NOLES
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Credential |
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Telephone | 478-453-1325
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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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