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General NPI Number Information
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NPI Number | 1871487785
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Entity Type | Organization
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Legal Business Name | AMERICAN ENERGY HOME MEDICAL CARE, LLC
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 128 CROSS CREEK CT
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City | GRAY
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State | TN
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Zip | 37615-4362
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Country | US
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Telephone | 423-900-7422
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Fax | 423-207-6153
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Provider Business Mailing Address
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Address Line | 128 CROSS CREEK CT
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City | GRAY
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State | TN
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Zip | 37615-4362
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Country | US
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Telephone | 423-900-7422
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Fax | 423-207-6153
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Authorized Official
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Title or Position | CEO
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Name | JAMES A GOSS
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Credential | M.D.
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Telephone | 423-900-7422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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