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General NPI Number Information
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NPI Number | 1447232111
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Entity Type | Organization
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Legal Business Name | BELCO MEDICAL INC.
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Dates
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Enumeration Date | 11/17/2005
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Last Update Date | 08/25/2008
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Provider Practice Location Address
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Address Line | 3754 FERNANDINA RD
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City | COLUMBIA
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State | SC
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Zip | 29210-3809
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Country | US
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Telephone | 803-551-5775
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Fax | 803-551-5776
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Provider Business Mailing Address
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Address Line | 3754 FERNANDINA RD UNIT B-3 P.O. BOX 211368
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City | COLUMBIA
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State | SC
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Zip | 29210-3809
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Country | US
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Telephone | 803-551-5775
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Fax | 803-551-5776
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. CURTIS L. BELTON
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Credential |
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Telephone | 803-931-0658
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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 | 001013
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License Number State | SC
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