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General NPI Number Information
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NPI Number | 1114132727
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Entity Type | Organization
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Legal Business Name | BECKER MEDICAL
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 03/05/2008
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Provider Practice Location Address
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Address Line | 1020 HONORE AVE
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City | SARASOTA
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State | FL
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Zip | 34232-3004
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Country | US
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Telephone | 941-822-0707
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Fax | 941-847-0808
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Provider Business Mailing Address
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Address Line | PO BOX 21441
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City | SARASOTA
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State | FL
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Zip | 34276-4441
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Country | US
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Telephone | 941-822-0707
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Fax | 941-847-0808
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MICHAEL J. HIBNICK
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Credential |
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Telephone | 941-822-0707
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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 | 1313270
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License Number State | FL
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