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General NPI Number Information
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NPI Number | 1801020870
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Entity Type | Organization
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Legal Business Name | PIGGLY WIGGLY 1 INC.
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Dates
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Enumeration Date | 05/06/2009
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Last Update Date | 08/01/2011
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Provider Practice Location Address
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Address Line | 445 MEETING STREET
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City | CHARLESTON
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State | SC
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Zip | 29403-5524
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Country | US
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Telephone | 843-722-4136
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Fax | 843-722-9065
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Provider Business Mailing Address
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Address Line | PO BOX 118047
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City | CHARLESTON
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State | SC
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Zip | 29423-8047
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Country | US
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Telephone | 843-554-9980
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Fax | 843-202-8211
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MR. DAVID SCHOOLS
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Credential |
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Telephone | 843-554-9880
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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 | 5001846
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License Number State | SC
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