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General NPI Number Information
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NPI Number | 1174762645
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Entity Type | Organization
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Legal Business Name | COMPEX SOLUTIONS, INC.
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Dates
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Enumeration Date | 02/06/2009
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Last Update Date | 02/06/2009
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Provider Practice Location Address
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Address Line | 8875 HIDDEN RIVER PKWY STE # 550
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City | TAMPA
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State | FL
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Zip | 33637-1035
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Country | US
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Telephone | 813-926-6739
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Fax | 813-907-7697
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Provider Business Mailing Address
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Address Line | 8875 HIDDEN RIVER PKWY STE # 550
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City | TAMPA
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State | FL
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Zip | 33637-1035
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Country | US
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Telephone | 813-926-6739
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Fax | 813-907-7697
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Authorized Official
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Title or Position | CEO/ PRESIDENT
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Name | MAURICE LORENZO
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Credential |
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Telephone | 813-926-6739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 6180128478306
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License Number State | FL
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