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General NPI Number Information
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NPI Number | 1619190014
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Entity Type | Organization
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Legal Business Name | HEYWARD WATSON MEDICAL INC
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9610 TWO NOTCH RD 3
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City | COLUMBIA
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State | SC
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Zip | 29223-1601
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Country | US
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Telephone | 803-788-1236
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Fax | 888-243-3895
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Provider Business Mailing Address
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Address Line | PO BOX 291584
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City | COLUMBIA
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State | SC
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Zip | 29229-0027
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Country | US
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Telephone | 803-317-4911
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Fax | 888-243-3895
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Authorized Official
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Title or Position | OWNERPARTNER
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Name | MS. REGINA HEYWARD
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Credential |
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Telephone | 803-788-1236
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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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