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General NPI Number Information
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NPI Number | 1164587747
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Entity Type | Organization
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Legal Business Name | AIRWAY MEDICAL SUPPLIES, INC.
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1115 N LOGAN ST
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City | GAFFNEY
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State | SC
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Zip | 29341-2022
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Country | US
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Telephone | 864-487-2142
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Fax | 864-487-2162
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Provider Business Mailing Address
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Address Line | PO BOX 88
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City | GAFFNEY
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State | SC
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Zip | 29342-0088
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Country | US
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Telephone | 864-487-2142
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Fax | 864-487-2162
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Authorized Official
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Title or Position | OWNER
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Name | MELANIE ROBERTS BAKER
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Credential |
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Telephone | 864-487-2142
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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 | SC
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