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General NPI Number Information
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NPI Number | 1285732420
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Entity Type | Organization
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Legal Business Name | FORDHAM INC.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 03/31/2015
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Provider Practice Location Address
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Address Line | 9585 HIGHWAY 78 UNIT A
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City | LADSON
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State | SC
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Zip | 29456-3925
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Country | US
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Telephone | 843-637-3337
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Fax | 843-637-3338
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Provider Business Mailing Address
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Address Line | 9585 HIGHWAY 78 UNIT A
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City | LADSON
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State | SC
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Zip | 29456-3925
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Country | US
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Telephone | 843-637-3337
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Fax | 843-637-3338
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MATTHEW SHELBOURNE
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Credential |
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Telephone | 843-637-3337
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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 | 032 37693 7
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License Number State | SC
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