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General NPI Number Information
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NPI Number | 1265660526
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Entity Type | Organization
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Legal Business Name | P&K MEDICAL SUPPLIES & EQUIPMENT, INC.
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Dates
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Enumeration Date | 06/25/2009
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Last Update Date | 06/25/2009
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Provider Practice Location Address
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Address Line | 1000 S FORT HARRISON AVE STE C
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City | CLEARWATER
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State | FL
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Zip | 33756-3906
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Country | US
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Telephone | 727-441-4245
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Fax | 727-441-4245
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Provider Business Mailing Address
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Address Line | 1000 S FORT HARRISON AVE STE C
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City | CLEARWATER
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State | FL
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Zip | 33756-3906
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Country | US
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Telephone | 727-441-4245
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Fax | 727-441-4245
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Authorized Official
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Title or Position | OWNER
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Name | PATRICK WOLFE
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Credential |
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Telephone | 727-441-4245
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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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