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General NPI Number Information
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NPI Number | 1992705446
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Entity Type | Organization
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Legal Business Name | VALLEY MEDICAL SUPPLIES, INC
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Dates
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Enumeration Date | 07/27/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1314 MEDICAL DR STE 103
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-4442
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Country | US
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Telephone | 910-483-4897
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Fax | 910-484-5496
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Provider Business Mailing Address
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Address Line | PO BOX 1024
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City | LUMBERTON
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State | NC
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Zip | 28359-1024
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHWETA PATEL
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Credential | MBA
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Telephone | 910-483-4897
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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 | 00963
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 00963
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 00963
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License Number State | NC
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