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General NPI Number Information
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NPI Number | 1144182999
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Entity Type | Organization
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Legal Business Name | AFIC GROUP OF COA LLC
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 7901 4TH ST N STE 29586
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4305
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Country | US
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Telephone | 579-400-1124
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Fax |
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Provider Business Mailing Address
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Address Line | 5440 MARINELLI RD APT 243
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City | ROCKVILLE
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State | MD
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Zip | 20852-2535
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Country | US
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Telephone | 579-400-1124
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JORDAN FARHAN BELL
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Credential | ETC
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Telephone | 579-400-1124
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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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