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General NPI Number Information
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NPI Number | 1902685399
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Entity Type | Organization
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Legal Business Name | THE POST-OP SHOP DME & SUPPLIES L.L.C.
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Dates
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Enumeration Date | 09/25/2023
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Last Update Date | 03/07/2024
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Provider Practice Location Address
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Address Line | 1100 PEACHTREE ST NE STE 200
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City | ATLANTA
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State | GA
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Zip | 30309-4829
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Country | US
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Telephone | 704-706-7376
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Fax | 704-706-7376
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Provider Business Mailing Address
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Address Line | 7618 GARLAND CIR
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City | COLLEGE PARK
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State | GA
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Zip | 30349-7977
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Country | US
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Telephone | 704-706-7376
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Fax | 704-706-7376
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Authorized Official
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Title or Position | COO
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Name | RACHAUN ENRICO REIOD
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Credential |
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Telephone | 704-706-7376
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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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