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General NPI Number Information
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NPI Number | 1780200493
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Entity Type | Organization
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Legal Business Name | GEM FOOTCARE SOLUTIONS, LLC
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Dates
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Enumeration Date | 06/18/2020
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Last Update Date | 06/18/2020
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Provider Practice Location Address
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Address Line | 301 S QUINTARD AVE
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City | ANNISTON
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State | AL
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Zip | 36201-6071
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Country | US
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Telephone | 256-236-5937
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3572
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City | OXFORD
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State | AL
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Zip | 36203-0572
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Country | US
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Telephone | 256-236-5937
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAMMY RENEE ALLDREDGE
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Credential |
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Telephone | 256-236-5937
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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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