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General NPI Number Information
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NPI Number | 1245673243
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Entity Type | Organization
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Legal Business Name | SCOJO ENTERPRISES INC.
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Dates
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Enumeration Date | 04/10/2013
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Last Update Date | 04/10/2013
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Provider Practice Location Address
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Address Line | 2605 E ATLANTIC BLVD SUITE 206
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City | POMPANO BEACH
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State | FL
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Zip | 33062-4948
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Country | US
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Telephone | 954-738-7301
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Fax | 954-738-7302
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Provider Business Mailing Address
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Address Line | PO BOX 2032
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City | POMPANO BEACH
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State | FL
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Zip | 33061-2032
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Country | US
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Telephone | 954-738-7301
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JACQUELINE MODLIN
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Credential |
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Telephone | 954-738-7303
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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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