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General NPI Number Information
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NPI Number | 1497752026
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Entity Type | Organization
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Legal Business Name | ECONOMED OF ABERDEEN INC
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 03/19/2019
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Provider Practice Location Address
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Address Line | 95 AVIEMORE DR STE A
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City | PINEHURST
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State | NC
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Zip | 28374-9797
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Country | US
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Telephone | 910-295-4489
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Fax | 910-215-8035
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Provider Business Mailing Address
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Address Line | 95 AVIEMORE DR STE A
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City | PINEHURST
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State | NC
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Zip | 28374-9797
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Country | US
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Telephone | 910-295-4489
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Fax | 910-215-8035
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Authorized Official
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Title or Position | CEO
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Name | MRS. ELEASE M. GOODWIN
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Credential |
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Telephone | 910-295-4489
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State | NC
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