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General NPI Number Information
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NPI Number | 1477866960
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Entity Type | Organization
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Legal Business Name | ON CALL MEDICAL LLC
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Dates
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Enumeration Date | 07/26/2010
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Last Update Date | 11/12/2010
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Provider Practice Location Address
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Address Line | 535 FOREST SHOALS LN
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City | DUNCAN
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State | SC
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Zip | 29334-8841
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Country | US
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Telephone | 864-266-0067
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Fax |
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Provider Business Mailing Address
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Address Line | 1740 WOODRUFF RD
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City | GREENVILLE
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State | SC
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Zip | 29607-5933
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Country | US
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Telephone | 864-458-9288
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SUSAN WORKMAN
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Credential |
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Telephone | 864-458-9288
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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 | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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