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General NPI Number Information
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NPI Number | 1578181095
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Entity Type | Organization
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Legal Business Name | SMRT LLC
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Dates
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Enumeration Date | 07/10/2020
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Last Update Date | 07/10/2020
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Provider Practice Location Address
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Address Line | 1317 BROAD ST STE B
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-3909
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Country | US
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Telephone | 800-981-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 5330 CARROLL CANYON RD STE 120
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City | SAN DIEGO
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State | CA
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Zip | 92121-3758
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Country | US
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Telephone | 858-755-7285
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Fax | 858-755-7243
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Authorized Official
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Title or Position | OWNER/CEO
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Name | NEIL MCKAY
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Credential |
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Telephone | 858-755-7285
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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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