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General NPI Number Information
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NPI Number | 1912981283
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Entity Type | Organization
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Legal Business Name | AMERICAN HOMECARE SUPPLY CO
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2300A OLD GETTYSBURG RD
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City | CAMP HILL
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State | PA
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Zip | 17011-7303
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Country | US
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Telephone | 717-761-9124
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Fax | 717-761-9127
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Provider Business Mailing Address
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Address Line | 650 N MAIN ST
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City | TAYLOR
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State | PA
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Zip | 18517-1112
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Country | US
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Telephone | 570-961-0155
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Fax | 570-961-1802
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RICHARD L PARA
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Credential |
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Telephone | 570-961-0155
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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 |
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