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General NPI Number Information
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NPI Number | 1033851506
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Entity Type | Organization
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Legal Business Name | MED DEPT INC
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Dates
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Enumeration Date | 04/13/2022
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Last Update Date | 04/16/2024
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Provider Practice Location Address
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Address Line | 20451 NW 2ND AVE STE 209
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-2539
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Country | US
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Telephone | 800-915-5924
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Fax | 954-637-2627
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Provider Business Mailing Address
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Address Line | 20451 NW 2ND AVE STE 209
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-2539
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Country | US
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Telephone | 800-915-5924
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Fax | 954-637-2627
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS TAINA SHANIA MOORE
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Credential |
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Telephone | 954-590-0977
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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 |
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License Number State |
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