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General NPI Number Information
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NPI Number | 1093531972
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Entity Type | Organization
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Legal Business Name | AXIS HEALTH SOURCE LLC
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 11890 SW 8TH ST STE 408
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City | MIAMI
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State | FL
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Zip | 33184-1700
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Country | US
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Telephone | 888-288-1545
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Fax | 888-288-1589
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Provider Business Mailing Address
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Address Line | 11890 SW 8TH ST STE 408
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City | MIAMI
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State | FL
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Zip | 33184-1700
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Country | US
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Telephone | 888-288-1545
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Fax | 888-288-1589
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Authorized Official
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Title or Position | MGR
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Name | DANIEL RIVERA
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Credential |
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Telephone | 888-288-1545
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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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