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General NPI Number Information
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NPI Number | 1902958465
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Entity Type | Organization
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Legal Business Name | ACCESS HOME MEDICAL LLC
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 01/02/2008
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Provider Practice Location Address
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Address Line | 3041D MCNAUGHTON DR
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City | COLUMBIA
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State | SC
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Zip | 29223-1809
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Country | US
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Telephone | 803-699-8011
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Fax | 803-699-8013
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Provider Business Mailing Address
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Address Line | 3041D MCNAUGHTON DR
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City | COLUMBIA
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State | SC
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Zip | 29223-1809
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Country | US
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Telephone | 803-699-8011
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Fax | 803-699-8013
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES MANNING LEE III
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Credential |
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Telephone | 803-418-5441
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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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