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General NPI Number Information
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NPI Number | 1053848705
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Entity Type | Organization
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Legal Business Name | COQUI MEDICAL SPECIALTIES
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Dates
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Enumeration Date | 05/12/2017
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Last Update Date | 05/12/2017
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Provider Practice Location Address
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Address Line | 832 S.E. 8TH AVENUE
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441
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Country | US
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Telephone | 954-415-2255
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Fax |
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Provider Business Mailing Address
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Address Line | 832 SE 8TH AVE
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-5610
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Country | US
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Telephone | 954-415-2255
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Fax | 954-418-9631
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Authorized Official
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Title or Position | OWNER
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Name | MR. RICHARD M MEHAN
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Credential |
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Telephone | 954-415-2255
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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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