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General NPI Number Information
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NPI Number | 1477552859
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Entity Type | Organization
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Legal Business Name | SOUTHERN MEDICAL EQUIPMENT INC.
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 573 JUNIPER ST NE SUITE B
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City | ATLANTA
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State | GA
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Zip | 30308-2387
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Country | US
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Telephone | 404-874-0082
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Fax | 404-874-2666
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Provider Business Mailing Address
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Address Line | 573 JUNIPER ST NE SUITE B
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City | ATLANTA
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State | GA
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Zip | 30308-2387
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Country | US
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Telephone | 404-874-0082
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Fax | 404-874-2666
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Authorized Official
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Title or Position | CEO/RESPIRATORY THERAPIST
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Name | MS. RENEE CATHERINE MCPHEE
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Credential | RT
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Telephone | 404-874-0082
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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 | 077086LGB
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License Number State | GA
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