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General NPI Number Information
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NPI Number | 1881741395
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Entity Type | Organization
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Legal Business Name | HOME MEDICAL SUPPLY, INC.
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 653 E MAIN ST
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City | BATAVIA
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State | NY
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Zip | 14020-2811
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Country | US
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Telephone | 585-343-9393
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Fax | 585-343-8310
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Provider Business Mailing Address
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Address Line | PO BOX 190
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City | BATAVIA
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State | NY
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Zip | 14021-0190
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Country | US
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Telephone | 585-343-9393
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Fax | 585-343-8310
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DWAYNE E WALL
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Credential |
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Telephone | 585-343-9393
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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 | NY
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