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General NPI Number Information
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NPI Number | 1053340265
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Entity Type | Organization
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Legal Business Name | G & A EQUIPMENT SERVICES INC.
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1545 SW 1ST ST STE 301
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City | MIAMI
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State | FL
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Zip | 33135-2163
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Country | US
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Telephone | 305-644-5989
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Fax | 305-644-5965
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Provider Business Mailing Address
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Address Line | 1545 SW 1ST ST STE 301
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City | MIAMI
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State | FL
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Zip | 33135-2163
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Country | US
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Telephone | 305-644-5989
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Fax | 305-644-5965
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Authorized Official
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Title or Position | PRESIDENT
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Name | LIZBET GOMEZ
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Credential |
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Telephone | 305-644-5990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 176840-0003
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License Number State | FL
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