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General NPI Number Information
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NPI Number | 1164481586
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Entity Type | Organization
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Legal Business Name | OPIS MEDICAL SUPPLY, LLC
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 04/12/2010
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Provider Practice Location Address
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Address Line | 10150 HIGHLAND MANOR DR SUITE 300
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City | TAMPA
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State | FL
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Zip | 33610-9713
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Country | US
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Telephone | 813-558-6620
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Fax |
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Provider Business Mailing Address
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Address Line | 10150 HIGHLAND MANOR DR SUITE 300
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City | TAMPA
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State | FL
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Zip | 33610-9713
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Country | US
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Telephone | 813-558-6620
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MARILYN G WOOD
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Credential |
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Telephone | 813-558-6561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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