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General NPI Number Information
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NPI Number | 1871660316
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Entity Type | Organization
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Legal Business Name | PATIENT ADVOCATE HOME CARE, LLC
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 07/14/2009
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Provider Practice Location Address
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Address Line | 1290 ARROWHEAD CT SUITE B
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City | CROWN POINT
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State | IN
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Zip | 46307-8222
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Country | US
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Telephone | 219-663-1430
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Fax | 219-663-1431
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Provider Business Mailing Address
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Address Line | PO BOX 11440
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City | MERRILLVILLE
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State | IN
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Zip | 46411-1440
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Country | US
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Telephone | 219-663-1430
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Fax | 219-663-1431
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MR. DANIEL RAYMOND BUIKEMA
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Credential |
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Telephone | 219-663-1430
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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 | 69000125A
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License Number State | IN
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