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General NPI Number Information
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NPI Number | 1972188407
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Entity Type | Organization
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Legal Business Name | GFM MEDICAL SUPPLY AND EQUIPMENT LLC
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Dates
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Enumeration Date | 03/16/2021
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Last Update Date | 03/16/2021
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Provider Practice Location Address
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Address Line | 1018 S CASHUA DR
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City | FLORENCE
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State | SC
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Zip | 29501-6315
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Country | US
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Telephone | 980-355-3104
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Fax |
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Provider Business Mailing Address
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Address Line | 6139 GUILDFORD HILL LN
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City | CHARLOTTE
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State | NC
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Zip | 28215-1888
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Country | US
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Telephone | 980-355-3104
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Fax |
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Authorized Official
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Title or Position | OWNER/ OPERATOR
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Name | MS. DESTINEE MAYESE MONTELL FRAZIER
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Credential |
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Telephone | 980-355-3104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #2
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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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