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General NPI Number Information
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NPI Number | 1811214851
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Entity Type | Organization
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Legal Business Name | MIDLANDS MEDTECH LLC
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Dates
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Enumeration Date | 04/30/2010
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Last Update Date | 06/29/2010
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Provider Practice Location Address
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Address Line | 237 OAKLAND DR
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City | WALTERBORO
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State | SC
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Zip | 29488-4509
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Country | US
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Telephone | 843-549-3444
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Fax | 843-549-3474
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Provider Business Mailing Address
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Address Line | 314 S MILL ST
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City | MANNING
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State | SC
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Zip | 29102-2917
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Country | US
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Telephone | 803-410-2667
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL MURLEY
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Credential |
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Telephone | 803-410-2667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 271
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License Number State | SC
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