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General NPI Number Information
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NPI Number | 1942241849
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Entity Type | Organization
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Legal Business Name | 1ST AMERICA HOME MEDICAL EQUIPMENT
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 428 NORTHSIDE DRIVE
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City | VALDOSTA
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State | GA
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Zip | 31602
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Country | US
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Telephone | 229-242-3433
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Fax | 229-242-9244
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Provider Business Mailing Address
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Address Line | 428 NORTHSIDE DRIVE
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City | VALDOSTA
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State | GA
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Zip | 31602
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Country | US
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Telephone | 229-242-3433
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Fax | 229-242-9244
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Authorized Official
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Title or Position | BILLING/AR MANAGER
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Name | LISA CARPENTER
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Credential |
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Telephone | 229-242-3433
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State | GA
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