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General NPI Number Information
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NPI Number | 1316318165
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Entity Type | Organization
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Legal Business Name | SENIOR MEDICAL SUPPLIES, INC.
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Dates
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Enumeration Date | 10/19/2015
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Last Update Date | 02/05/2016
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Provider Practice Location Address
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Address Line | 2751 ENTERPRISE RD STE 113
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City | ORANGE CITY
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State | FL
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Zip | 32763-8256
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Country | US
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Telephone | 888-536-7516
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Fax | 888-536-7517
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Provider Business Mailing Address
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Address Line | 2751 ENTERPRISE RD STE 113
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City | ORANGE CITY
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State | FL
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Zip | 32763-8256
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Country | US
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Telephone | 888-536-7516
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Fax | 888-536-7517
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MARIA C. CARVAJAL
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Credential |
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Telephone | 407-936-3360
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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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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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