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General NPI Number Information
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NPI Number | 1215056668
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Entity Type | Organization
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Legal Business Name | MMR MEDICAL EQUIPMENT, CORP.
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 12/15/2009
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Provider Practice Location Address
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Address Line | 2500 SW 107TH AVE SUITE 30
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City | MIAMI
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State | FL
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Zip | 33165-2470
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Country | US
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Telephone | 305-552-5638
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Fax | 305-552-5975
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Provider Business Mailing Address
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Address Line | 2500 S.W. 107 AVE. SUITE #30
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City | MIAMI
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State | FL
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Zip | 33165
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Country | US
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Telephone | 305-552-5638
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Fax | 305-552-5975
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MIGUEL MENDEZ
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Credential |
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Telephone | 786-326-8858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PH23552
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License Number State | FL
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