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General NPI Number Information
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NPI Number | 1649241621
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Entity Type | Organization
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Legal Business Name | RELIABLE MEDICAL EQUIPMENT OF SUMMERVILLE, LLC
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 301 OAKBROOK LN STE 315
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City | SUMMERVILLE
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State | SC
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Zip | 29485-8257
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Country | US
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Telephone | 843-875-2215
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Fax | 843-875-2218
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Provider Business Mailing Address
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Address Line | 108A THOMAS CARY CT
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City | WANDO
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State | SC
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Zip | 29492-7940
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Country | US
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Telephone | 843-881-4928
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Fax | 843-884-8005
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Authorized Official
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Title or Position | PARTNER
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Name | ALAN B RICHEY
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Credential |
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Telephone | 843-881-4928
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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 | SC
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