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General NPI Number Information
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NPI Number | 1972618114
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Entity Type | Organization
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Legal Business Name | PC INDUSTRIES INC
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 249-255 E GERMAN SCHOOL ROAD
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City | RICHMOND
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State | VA
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Zip | 23224-1460
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Country | US
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Telephone | 804-231-7774
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Fax | 804-231-0179
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Provider Business Mailing Address
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Address Line | 249-255 E GERMAN SCHOOL ROAD
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City | RICHMOND
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State | VA
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Zip | 23224-1460
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Country | US
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Telephone | 804-231-7774
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Fax | 804-231-0179
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. KAYE O CRENSHAW
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Credential |
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Telephone | 804-231-7774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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