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General NPI Number Information
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NPI Number | 1861368938
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Entity Type | Organization
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Legal Business Name | ADVANCED HOME MEDICAL LLC
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 9001 N MAIN ST STE 2
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City | ENGLEWOOD
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State | OH
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Zip | 45415-1175
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Country | US
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Telephone | 614-433-9011
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Fax |
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Provider Business Mailing Address
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Address Line | 6414 S 118TH ST
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City | OMAHA
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State | NE
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Zip | 68137-3576
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Country | US
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Telephone | 402-281-4404
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Fax | 402-281-4470
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Authorized Official
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Title or Position | COMPLIANCE OFICER
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Name | SHEILA ROBERSON
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Credential |
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Telephone | 602-818-5258
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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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