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General NPI Number Information
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NPI Number | 1750337044
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Entity Type | Organization
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Legal Business Name | CAROLINA HEALTHCARE PRODUCTS, INC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 20 MEDICAL CAMPUS DR SUITE 102
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City | SUPPLY
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State | NC
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Zip | 28462-4094
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Country | US
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Telephone | 910-755-6767
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Fax | 910-755-6769
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Provider Business Mailing Address
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Address Line | 20 MEDICAL CAMPUS DR SUITE 102
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City | SUPPLY
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State | NC
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Zip | 28462-4094
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Country | US
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Telephone | 910-755-6767
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Fax | 910-755-6769
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RON J DE SANTO
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Credential | C.PED.
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Telephone | 910-454-4545
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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 | 01087
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License Number State | NC
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