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General NPI Number Information
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NPI Number | 1508394339
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Entity Type | Organization
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Legal Business Name | SOUTHEAST MEDICAL, INC.
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Dates
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Enumeration Date | 05/24/2017
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 2117 UNIVERSITY BLVD
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City | TUSCALOOSA
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State | AL
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Zip | 35401-1539
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Country | US
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Telephone | 205-650-3260
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Fax | 205-650-1928
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Provider Business Mailing Address
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Address Line | PO BOX 674553
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City | DETROIT
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State | MI
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Zip | 48267-4553
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Country | US
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Telephone | 205-650-3260
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Fax | 205-650-1928
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Authorized Official
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Title or Position | PRESIDENT AND DIRECTOR
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Name | EMILY M VESTAL
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Credential |
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Telephone | 866-897-8588
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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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