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NPI Profile for REBECCA RANDALL in CHARLESTON, SC.
An organization which supplies or vends orthopedic appliances or apparatuses and artificial body parts used to support, align, prevent, or correct deformities or to replace or improve function of body parts.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist | |
Orthotics/Prosthetics Fitter |
225000000X | |||
Technician, Other |
247200000X | 75 | Slide Preparation Facility |
| NPI # | 1164723151 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/08/2010 | |
| Last updated | 11/08/2010 - About 16 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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REBECCA RANDALL
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REBECCA RANDALL