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General NPI Number Information
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NPI Number | 1356435143
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Entity Type | Organization
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Legal Business Name | ATLANTIC MEDICAL INC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 03/12/2018
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Provider Practice Location Address
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Address Line | 532 WILBORN AVE
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City | SOUTH BOSTON
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State | VA
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Zip | 24592-3120
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Country | US
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Telephone | 434-572-1853
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Fax | 434-572-1934
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Provider Business Mailing Address
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Address Line | 3325 BARTLETT BLVD
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City | ORLANDO
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State | FL
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Zip | 32811-6428
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Country | US
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Telephone | 407-206-0040
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Fax | 407-206-0010
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Authorized Official
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Title or Position | CEO
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Name | STEPHE GRIGGS
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Credential |
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Telephone | 407-206-0040
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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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Taxonomy #2
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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 |
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