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General NPI Number Information
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NPI Number | 1275580110
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Entity Type | Organization
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Legal Business Name | H&O MEDICAL SUPPLY CORP.
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15315 NW 60TH AVE SUITE F
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2468
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Country | US
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Telephone | 305-364-3392
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Fax | 305-364-3393
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Provider Business Mailing Address
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Address Line | 15315 NW 60TH AVE SUITE F
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2468
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Country | US
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Telephone | 305-364-3392
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Fax | 305-364-3393
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. HIDELIZA AGUERO
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Credential |
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Telephone | 305-364-3392
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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 | HME1312255
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License Number State | FL
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