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General NPI Number Information
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NPI Number | 1427239169
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Entity Type | Organization
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Legal Business Name | UNIVERSITY MEDICAL SERVICES & SUPPL
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Dates
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Enumeration Date | 11/23/2007
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Last Update Date | 12/12/2008
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Provider Practice Location Address
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Address Line | 6941 NORTH TRENHOLM ROAD SUITE 0-103 PINNACLE PROFESSIONAL PARK
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City | COLUMBIA
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State | SC
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Zip | 29206-1729
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Country | US
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Telephone | 803-782-0761
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Fax | 803-782-0762
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Provider Business Mailing Address
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Address Line | PO BOX 2734
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City | WEST COLUMBIA
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State | SC
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Zip | 29171-2734
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Country | US
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Telephone | 803-319-1805
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Fax | 803-796-9320
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ALFRED WILLIAM MCFARLIN JR.
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Credential | REGISTERED NURSE
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Telephone | 803-319-1805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number | 040 70930 4
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License Number State | SC
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