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General NPI Number Information
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NPI Number | 1467218446
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Entity Type | Organization
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Legal Business Name | SAFECARE MEDICAL SUPPLY AND SERVICES LLC
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Dates
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Enumeration Date | 02/26/2024
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 115 COMMERCE DR STE J
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-7335
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Country | US
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Telephone | 770-703-8055
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Fax | 770-703-8104
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Provider Business Mailing Address
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Address Line | 115 COMMERCE DR STE J
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-7335
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Country | US
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Telephone | 404-277-9890
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Fax |
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Authorized Official
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Title or Position | OWNER / MANAGING MEMBER
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Name | DR. MICHAEL MGBEMENA
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Credential | PHARMD
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Telephone | 404-277-9890
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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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