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NPI Code Detail

MEDICARE: TGH-DASCO HOME MEDICAL EQUIPMENT, LLC

MEDICARE: TGH-DASCO HOME MEDICAL EQUIPMENT, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332BX2000XOxygen Equipment & Supplies (DME)
2332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1467208264
Entity Type Code : Organization
Provider Name (Legal Business Name) : TGH-DASCO HOME MEDICAL EQUIPMENT, LLC
Provider Business Mailing Address
First Line : 375 N WEST ST
Second Line :
City : WESTERVILLE
State : OH
Zip : 43082-1400
Country : US
Telephone Number : 614-901-2226
Fax Number : 614-901-2868
Provider Business Practice Location Address
First Line : 5439 BEAUMONT CENTER BLVD STE 1000
Second Line :
City : TAMPA
State : FL
Zip : 33634-5211
Country : US
Telephone Number : 800-892-4044
Fax Number :
Authorized Official
Title or Position : CEO
Name : RACHEL MAZUR
Credential :
Telephone Number : 614-901-2109
Provider Enumeration Date : 04/24/2024
Last Update Date : 04/24/2024

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