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General NPI Number Information
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NPI Number | 1548226343
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Entity Type | Organization
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Legal Business Name | PEE DEE HOME MEDICAL SUPPLY INC
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Dates
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Enumeration Date | 04/21/2006
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Last Update Date | 06/22/2015
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Provider Practice Location Address
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Address Line | 801A HIGHWAY 301 N UNIT A
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City | DILLON
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State | SC
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Zip | 29536-2450
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Country | US
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Telephone | 843-841-9003
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Fax | 843-841-9736
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Provider Business Mailing Address
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Address Line | 801 HIGHWAY 301 N UNIT A
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City | DILLON
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State | SC
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Zip | 29536-2467
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Country | US
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Telephone | 843-841-9003
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Fax | 843-841-9736
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Authorized Official
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Title or Position | OWNER
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Name | MR. CARL ALTMAN
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Credential |
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Telephone | 843-841-9003
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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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