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General NPI Number Information
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NPI Number | 1861552911
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Entity Type | Organization
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Legal Business Name | CHATTAHOOCHEE HOME OXYGEN SERVICE, INC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 01/23/2008
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Provider Practice Location Address
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Address Line | 2080 LULLWATER PL
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-5140
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Country | US
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Telephone | 770-822-4600
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Fax | 770-822-0944
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Provider Business Mailing Address
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Address Line | 2080 LULLWATER PL
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-5140
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Country | US
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Telephone | 770-822-4600
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Fax | 770-822-0944
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Authorized Official
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Title or Position | PRES.
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Name | ELLEN B MEERS
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Credential |
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Telephone | 770-822-4600
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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 | K414072
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License Number State | GA
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