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General NPI Number Information
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NPI Number | 1558129247
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Entity Type | Organization
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Legal Business Name | M.E. CONTRACTING
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Dates
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Enumeration Date | 03/07/2024
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Last Update Date | 03/07/2024
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Provider Practice Location Address
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Address Line | 2229 HEYWARD BROCKINGTON
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City | COLUMBIA
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State | SC
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Zip | 29203-2920
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Country | US
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Telephone | 803-556-8059
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 30754
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City | COLUMBIA
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State | SC
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Zip | 29230
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL GABRIEL EARGLE
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Credential |
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Telephone | 803-556-8059
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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