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General NPI Number Information
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NPI Number | 1043634959
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Entity Type | Organization
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Legal Business Name | SOUTH EAST ACCESS INC
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Dates
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Enumeration Date | 02/12/2014
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Last Update Date | 02/12/2014
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Provider Practice Location Address
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Address Line | 16 ASH RD
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City | SOUTHPORT
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State | NC
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Zip | 28461-9115
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Country | US
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Telephone | 910-386-8046
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Fax |
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Provider Business Mailing Address
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Address Line | 16 ASH RD
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City | SOUTHPORT
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State | NC
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Zip | 28461-9115
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Country | US
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Telephone | 910-386-8046
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | DR. DENNIS EUGENE LONG
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Credential |
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Telephone | 910-386-8046
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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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