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General NPI Number Information
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NPI Number | 1093002081
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Entity Type | Organization
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Legal Business Name | SENECA HEALTHCARE, LLC
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Dates
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Enumeration Date | 06/29/2011
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Last Update Date | 08/02/2011
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Provider Practice Location Address
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Address Line | 555 BYPASS HIGHWAY 123 SUITE C
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City | SENECA
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State | SC
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Zip | 29678-0809
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Country | US
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Telephone | 864-888-0039
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Fax | 864-888-0034
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Provider Business Mailing Address
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Address Line | 555 BYPASS HIGHWAY 123 SUITE C
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City | SENECA
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State | SC
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Zip | 29678-0809
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Country | US
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Telephone | 864-888-0039
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Fax | 864-888-0034
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. GARRY K VAN ROMER
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Credential | D.C.
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Telephone | 864-888-0039
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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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