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NPI 1942445143

NPI 1942445143 : GEMINI MEDICAL PRODUCTS LLC : LEXINGTON, SC

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General NPI Number Information
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    NPI Number           |    1942445143
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    Entity Type          |    Organization 
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    Legal Business Name  |    GEMINI MEDICAL PRODUCTS LLC 
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Dates
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    Enumeration Date     |    12/03/2008
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    Last Update Date     |    06/01/2010
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Provider Practice Location Address
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    Address Line         |    4265 AUGUSTA RD SUITE O
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    City                 |    LEXINGTON
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    State                |    SC
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    Zip                  |    29073-7987
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    Country              |    US
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    Telephone            |    803-462-4624
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    Fax                  |    866-371-7874
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Provider Business Mailing Address
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    Address Line         |    116 HARMON CREEK CT 
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    City                 |    LEXINGTON
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    State                |    SC
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    Zip                  |    29072-8146
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    Country              |    US
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    Telephone            |    803-462-4624
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    Fax                  |    866-371-7874
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. JULIE  SPANGLER 
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    Credential           |    
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    Telephone            |    803-462-4624
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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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