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General NPI Number Information
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NPI Number | 1083120034
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Entity Type | Organization
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Legal Business Name | BRACE YOURSELF MEDICAL LLC
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Dates
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Enumeration Date | 12/28/2017
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Last Update Date | 12/28/2017
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Provider Practice Location Address
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Address Line | 1860 OLD OKEECHOBEE ROAD 105
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City | WEST PALM BEACH
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State | FL
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Zip | 33409
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Country | US
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Telephone | 561-708-1604
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Fax |
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Provider Business Mailing Address
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Address Line | 1860 OLD OKEECHOBEE ROAD 105
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City | WEST PALM BEACH
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State | FL
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Zip | 33409
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Country | US
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Telephone | 561-708-1604
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANA GARCIA
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Credential |
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Telephone | 561-708-1604
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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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