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General NPI Number Information
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NPI Number | 1235224387
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Entity Type | Organization
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Legal Business Name | VARIETY MEDICAL EQUIPMENT
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10240 SW 56TH STREET APT 111E
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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 | 305-273-1991
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Fax |
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Provider Business Mailing Address
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Address Line | 10240 SW 56TH STREET APT 111E
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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 | 305-273-1991
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDUARDO LOPEZ
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Credential |
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Telephone | 305-273-1991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | AHCA LIC
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License Number State | FL
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