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NPI Code Detail

MEDICARE: SUPER DUPER INC

MEDICARE: SUPER DUPER INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1588059497
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUPER DUPER INC
Provider Business Mailing Address
First Line : PO BOX 24997
Second Line :
City : GREENVILLE
State : SC
Zip : 29616-2497
Country : US
Telephone Number : 864-284-4517
Fax Number :
Provider Business Practice Location Address
First Line : 5201 PELHAM RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-5723
Country : US
Telephone Number : 864-284-4517
Fax Number :
Authorized Official
Title or Position : ACCOUNTING
Name : MRS. CINDY RAGUSA
Credential :
Telephone Number : 864-284-4517
Provider Enumeration Date : 03/30/2015
Last Update Date : 03/30/2015

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Directions to “SUPER DUPER INC ” Practice Location

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