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General NPI Number Information
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NPI Number | 1942250618
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Entity Type | Organization
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Legal Business Name | TRI-LAKES HOME MEDICAL EQUIPMENT, INC.
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 04/19/2016
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Provider Practice Location Address
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Address Line | 274 E ORVIS ST
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City | MASSENA
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State | NY
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Zip | 13662-2277
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Country | US
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Telephone | 315-769-5498
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Fax |
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Provider Business Mailing Address
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Address Line | 60 BROADWAY
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City | SARANAC LAKE
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State | NY
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Zip | 12983-1760
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Country | US
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Telephone | 518-891-1777
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. EARL HITCHCOCK JR.
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Credential |
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Telephone | 518-891-1777
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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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