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NPI 1225675762

NPI 1225675762 : MOVEMENT MEDICAL SUPPLIES : PEMBROKE PINES, FL

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General NPI Number Information
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    NPI Number           |    1225675762
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    Entity Type          |    Organization 
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    Legal Business Name  |    MOVEMENT MEDICAL SUPPLIES 
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Dates
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    Enumeration Date     |    12/03/2019
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    Last Update Date     |    01/24/2023
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Provider Practice Location Address
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    Address Line         |    710 SW 93RD AVE 
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    City                 |    PEMBROKE PINES
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    State                |    FL
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    Zip                  |    33025-1144
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    Country              |    US
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    Telephone            |    954-404-3134
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    Fax                  |    888-832-9584
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Provider Business Mailing Address
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    Address Line         |    710 SW 93RD AVE 
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    City                 |    PEMBROKE PINES
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    State                |    FL
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    Zip                  |    33025-1144
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    Country              |    US
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    Telephone            |    954-404-3134
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    Fax                  |    888-832-9584
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     SEAN  BISHOP 
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    Credential           |    
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    Telephone            |    954-401-3134
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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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