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General NPI Number Information
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NPI Number | 1245336361
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Entity Type | Organization
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Legal Business Name | MEDICAL SUPPLIES OF NORTH MIAMI BEACH, INC.
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 16300 NE 19TH AVE SUITE 206
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-4883
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Country | US
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Telephone | 754-581-2943
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Fax |
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Provider Business Mailing Address
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Address Line | 16300 NE 19TH AVE SUITE 206
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-4883
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Country | US
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Telephone | 754-581-2943
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HENRY R CROUSER
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Credential |
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Telephone | 754-581-2043
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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 | N/A
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License Number State |
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