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General NPI Number Information
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NPI Number | 1306224498
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Entity Type | Organization
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Legal Business Name | CUMBERLAND MEDICAL EQUIPMENT INC
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 05/11/2015
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Provider Practice Location Address
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Address Line | 104 LAKESHORE DR STE C
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City | SAINT MARYS
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State | GA
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Zip | 31558-3809
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Country | US
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Telephone | 912-729-5538
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2457
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City | KINGSLAND
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State | GA
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Zip | 31548-2457
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Country | US
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Telephone | 912-729-5538
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Fax |
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. ANDREW A CHMIEL
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Credential |
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Telephone | 704-267-5514
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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 |
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