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General NPI Number Information
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NPI Number | 1912982935
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Entity Type | Organization
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Legal Business Name | PIONEER HOME MEDICAL, INC.
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1400 COLEGATE DR
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City | MARIETTA
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State | OH
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Zip | 45750-1330
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Country | US
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Telephone | 740-374-2865
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Fax | 740-374-3994
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Provider Business Mailing Address
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Address Line | 1400 COLEGATE DR
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City | MARIETTA
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State | OH
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Zip | 45750-1330
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Country | US
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Telephone | 740-374-2865
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Fax | 740-374-3994
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Authorized Official
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Title or Position | VICEPRESIDENT
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Name | MR. PAUL FRANK GREEN
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Credential |
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Telephone | 740-374-2865
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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 | HMEL11031
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License Number State | OH
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