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General NPI Number Information
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NPI Number | 1033061007
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Entity Type | Organization
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Legal Business Name | SILVER BRIDGE SUPPLY INC
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 6825 JIMMY CARTER BLVD STE 1450A
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City | NORCROSS
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State | GA
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Zip | 30071-1257
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Country | US
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Telephone | 470-749-6027
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Fax | 470-464-8449
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Provider Business Mailing Address
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Address Line | 6825 JIMMY CARTER BLVD STE 1450A
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City | NORCROSS
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State | GA
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Zip | 30071-1257
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Country | US
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Telephone | 470-749-6027
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Fax | 470-464-8449
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHAHAN QAISER
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Credential |
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Telephone | 470-749-6027
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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 |
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License Number State |
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