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General NPI Number Information
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NPI Number | 1174770465
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Entity Type | Organization
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Legal Business Name | G & J ENTERPRISES OF S'VILLE INC
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Dates
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Enumeration Date | 08/19/2008
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Last Update Date | 08/19/2008
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Provider Practice Location Address
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Address Line | 404 TROLLEY RD
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City | SUMMERVILLE
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State | SC
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Zip | 29485-5661
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Country | US
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Telephone | 843-871-6944
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Fax |
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Provider Business Mailing Address
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Address Line | 404 TROLLEY RD
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City | SUMMERVILLE
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State | SC
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Zip | 29485-5661
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | V P
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Name | JAMES OAKLEY JR.
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Credential |
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Telephone | 843-871-6944
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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 | 018148835
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License Number State | SC
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