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General NPI Number Information
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NPI Number | 1033411129
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Entity Type | Organization
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Legal Business Name | A AND A DME LLC
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Dates
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Enumeration Date | 11/23/2010
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Last Update Date | 11/23/2010
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Provider Practice Location Address
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Address Line | 1109 BELLEVIEW ST SUITE 101
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City | COLUMBIA
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State | SC
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Zip | 29201-1872
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Country | US
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Telephone | 803-988-0058
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Fax | 803-988-0069
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Provider Business Mailing Address
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Address Line | 1109 BELLEVIEW ST SUITE 101
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City | COLUMBIA
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State | SC
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Zip | 29201-1872
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Country | US
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Telephone | 803-988-0058
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Fax | 803-988-0069
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Authorized Official
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Title or Position | MEMBER
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Name | JAQLINE MOBAYED
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Credential |
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Telephone | 803-988-0058
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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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