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General NPI Number Information
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NPI Number | 1346475779
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Entity Type | Organization
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Legal Business Name | BESTSOLE INC.
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Dates
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Enumeration Date | 05/29/2009
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Last Update Date | 05/29/2009
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Provider Practice Location Address
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Address Line | 2950 COMMERCE PARK DR SUITE 2
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-8779
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Country | US
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Telephone | 561-547-4681
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Fax | 561-547-4684
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Provider Business Mailing Address
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Address Line | 2950 COMMERCE PARK DR SUITE 2
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-8779
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Country | US
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Telephone | 561-547-4681
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Fax | 561-547-4684
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Authorized Official
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Title or Position | CORPORATION/SECRETARY
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Name | MRS. JOYCE RODRIGUEZ
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Credential |
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Telephone | 561-547-4681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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