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General NPI Number Information
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NPI Number | 1497708945
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Entity Type | Organization
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Legal Business Name | RESOURCE MEDICAL GROUP OF CHARLESTON, LLC
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 04/11/2023
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Provider Practice Location Address
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Address Line | 4931 RIVERS AVE STE 102
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-6310
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Country | US
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Telephone | 437-677-3344
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Fax |
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Provider Business Mailing Address
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Address Line | 4042 ASHLEY PHOSPHATE RD
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City | NORTH CHARLESTON
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State | SC
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Zip | 29418-8547
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Country | US
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Telephone | 864-616-9670
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | GREG CRAWFORD
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Credential |
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Telephone | 859-441-8876
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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 |
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License Number State |
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