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General NPI Number Information
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NPI Number | 1548454242
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Entity Type | Organization
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Legal Business Name | C HOWELL SHOES INC
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Dates
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Enumeration Date | 09/05/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1755 SAM RITTENBERG BLVD
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City | CHARLESTON
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State | SC
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Zip | 29407-4927
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Country | US
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Telephone | 843-571-5593
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Fax |
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Provider Business Mailing Address
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Address Line | 1755 SAM RITTENBERG BLVD
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City | CHARLESTON
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State | SC
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Zip | 29407-4927
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Country | US
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Telephone | 843-571-5593
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Fax |
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Authorized Official
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Title or Position | SHAREHOLDER
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Name | MR. CHARLES HOWELL JR.
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Credential |
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Telephone | 843-571-5593
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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 | SC
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Taxonomy #2
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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 | SC
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