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General NPI Number Information
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NPI Number | 1093021800
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Entity Type | Organization
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Legal Business Name | VELOCITY MEDICAL MANAGEMENT, LLC
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Dates
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Enumeration Date | 08/31/2010
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Last Update Date | 01/13/2016
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Provider Practice Location Address
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Address Line | 3350 NE 12TH AVE
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City | OAKLAND PARK
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State | FL
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Zip | 33307-8512
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Country | US
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Telephone | 954-653-8364
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 70307
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City | OAKLAND PARK
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State | FL
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Zip | 33307-0307
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RONI MEECE
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Credential |
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Telephone | 954-653-8364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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