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General NPI Number Information
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NPI Number | 1982849949
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Entity Type | Organization
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Legal Business Name | HOME CHOICE MEDICAL SUPPLY SERVICES
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Dates
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Enumeration Date | 12/04/2008
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Last Update Date | 12/04/2008
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Provider Practice Location Address
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Address Line | 6475 NEW HAMPSHIRE AVE SUITE 504B
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City | HYATTSVILLE
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State | MD
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Zip | 20783-3269
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Country | US
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Telephone | 301-560-0552
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Fax | 301-481-7183
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Provider Business Mailing Address
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Address Line | 6475 NEW HAMPSHIRE AVE SUITE 504B
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City | HYATTSVILLE
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State | MD
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Zip | 20783-3269
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Country | US
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Telephone | 301-560-0552
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Fax | 301-481-7183
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | FRED AMOAKO ADDO
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Credential |
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Telephone | 301-395-8604
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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 | R2698
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License Number State | MD
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