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General NPI Number Information
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NPI Number | 1043337207
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Entity Type | Organization
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Legal Business Name | DIABETES CARE & EDUCATION INC
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 05/26/2011
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Provider Practice Location Address
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Address Line | 607 PENDLETON ST SUITE 103
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City | GREENVILLE
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State | SC
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Zip | 29601-3353
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Country | US
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Telephone | 864-295-3223
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Fax | 864-295-3224
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Provider Business Mailing Address
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Address Line | 13621 NW 12TH ST SUITE 100
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City | SUNRISE
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State | FL
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Zip | 33323-2836
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Country | US
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Telephone | 954-903-5000
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Fax | 954-903-5290
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Authorized Official
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Title or Position | CEO
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Name | MR. GLENN M PARKER
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Credential | M.D.
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Telephone | 954-903-5000
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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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