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General NPI Number Information
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NPI Number | 1265547889
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Entity Type | Organization
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Legal Business Name | DIABETIC SERVICES INC
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 202 BENDINGWOOD CIRCLE
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City | TAYLORS
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State | SC
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Zip | 29687
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Country | US
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Telephone | 864-292-0200
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Fax | 864-292-0021
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Provider Business Mailing Address
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Address Line | PO BOX 26991
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City | GREENVILLE
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State | SC
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Zip | 29616-0991
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Country | US
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Telephone | 864-292-0200
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Fax | 864-292-0021
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Authorized Official
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Title or Position | VP
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Name | MS. PAT D HADEN
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Credential |
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Telephone | 864-292-0200
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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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