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General NPI Number Information
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NPI Number | 1194066704
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Entity Type | Organization
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Legal Business Name | LOW COUNTRY HOME MEDICAL EQUIPMENT COMPANY, INC.
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Dates
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Enumeration Date | 03/06/2013
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Last Update Date | 03/06/2013
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Provider Practice Location Address
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Address Line | 1104 N JEFFERIES BLVD
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City | WALTERBORO
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State | SC
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Zip | 29488-2730
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Country | US
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Telephone | 843-782-4307
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Fax | 843-782-4309
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Provider Business Mailing Address
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Address Line | 1104 N JEFFERIES BLVD
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City | WALTERBORO
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State | SC
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Zip | 29488-2730
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Country | US
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Telephone | 843-782-4307
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Fax | 843-782-4309
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Authorized Official
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Title or Position | VP/OPERATIONS
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Name | MARK BATY
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Credential |
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Telephone | 843-209-7185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State | SC
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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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