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General NPI Number Information
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NPI Number | 1326107517
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Entity Type | Organization
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Legal Business Name | BOMAC INC
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | BOMAC INC 2876 E HWY 76
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City | MULLINS
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State | SC
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Zip | 29574-6036
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Country | US
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Telephone | 843-423-2337
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Fax | 843-423-2338
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Provider Business Mailing Address
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Address Line | 2876 EAST HWY 76
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City | MULLINS
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State | SC
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Zip | 29574
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Country | US
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Telephone | 843-423-2337
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Fax | 843-423-2338
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MISTY JACKSON WILLIAMS
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Credential |
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Telephone | 843-423-2337
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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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