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General NPI Number Information
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NPI Number | 1083645790
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Entity Type | Organization
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Legal Business Name | SPECIAL MEDICAL SERVICES INC
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 20815 NE 16TH AVE STE B-32
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City | MIAMI
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State | FL
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Zip | 33179-2138
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Country | US
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Telephone | 305-249-6883
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Fax |
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Provider Business Mailing Address
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Address Line | 3794 BIMINI AVE
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City | COOPER CITY
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State | FL
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Zip | 33026-4642
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Country | US
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Telephone | 954-433-0821
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Fax |
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Authorized Official
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Title or Position | OWNER RESPIRATORY THERAPIST
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Name | MR. MANUEL LUIS SORI
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Credential | RRT
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Telephone | 954-433-0821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | H77506
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License Number State | FL
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