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General NPI Number Information
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NPI Number | 1083601439
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Entity Type | Organization
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Legal Business Name | FLOYD BRACE COMPANY, INC.
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Dates
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Enumeration Date | 09/30/2005
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Last Update Date | 06/06/2022
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Provider Practice Location Address
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Address Line | 9231 MEDICAL PLAZA DR SUITE F
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-9101
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Country | US
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Telephone | 843-824-0625
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Fax | 843-824-0127
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Provider Business Mailing Address
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Address Line | 9213 UNIVERSITY BLVD STE D
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-9145
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Country | US
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Telephone | 843-614-6400
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Fax | 843-873-7387
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MAURICE A JOHNSON
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Credential | CO
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Telephone | 843-824-0625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #2
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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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