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NPI 1669417861

NPI 1669417861 : ALLCARE MEDICAL : DUNCAN, SC

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General NPI Number Information
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    NPI Number           |    1669417861
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALLCARE MEDICAL 
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Dates
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    Enumeration Date     |    06/19/2006
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    Last Update Date     |    04/01/2014
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Provider Practice Location Address
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    Address Line         |    615 CROWN POINTE DR. 
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    City                 |    DUNCAN
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    State                |    SC
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    Zip                  |    29334
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    Country              |    US
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    Telephone            |    864-263-4300
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    330 PELHAM RD. STE A200
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    City                 |    GREENVILLE
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    State                |    SC
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    Zip                  |    29615
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    Country              |    US
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    Telephone            |    864-263-4300
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MR. ONDREJ  SLIVA 
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    Credential           |    
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    Telephone            |    864-263-4311
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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       |    042503923
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    License Number State |    SC
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