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General NPI Number Information
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NPI Number | 1255117263
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Entity Type | Organization
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Legal Business Name | AMESHACOUTURE
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Dates
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Enumeration Date | 09/05/2023
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Last Update Date | 09/05/2023
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Provider Practice Location Address
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Address Line | 19780 NW 27TH AVE
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City | MIAMI GARDENS
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State | FL
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Zip | 33056-2520
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Country | US
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Telephone | 786-810-0912
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Fax |
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Provider Business Mailing Address
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Address Line | 19780 NW 27TH AVE
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City | MIAMI GARDENS
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State | FL
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Zip | 33056-2520
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Country | US
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Telephone | 786-810-0912
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JUCARA COLOMATHI
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Credential |
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Telephone | 786-810-0912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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