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General NPI Number Information
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NPI Number | 1730298969
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Entity Type | Organization
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Legal Business Name | ADVANCED MEDICAL EQUIPMENT INC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 03/04/2011
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Provider Practice Location Address
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Address Line | 3510A BUSH RIVER RD
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City | COLUMBIA
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State | SC
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Zip | 29210-4806
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Country | US
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Telephone | 803-233-3145
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Fax |
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Provider Business Mailing Address
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Address Line | 3510A BUSH RIVER RD
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City | COLUMBIA
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State | SC
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Zip | 29210-4806
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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 | OWNER
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Name | MR. JAMES RAY WELBORN JR.
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Credential |
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Telephone | 803-233-3145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 032371031
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License Number State | SC
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