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General NPI Number Information
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NPI Number | 1356908883
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Entity Type | Organization
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Legal Business Name | MILLENNIAL MEDICAL SUPPLIES & EQUIPMENT LLC
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Dates
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Enumeration Date | 05/21/2019
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Last Update Date | 05/10/2021
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Provider Practice Location Address
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Address Line | 7815 SW 24TH ST STE 105
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City | MIAMI
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State | FL
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Zip | 33155-6541
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Country | US
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Telephone | 305-456-0866
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Fax | 407-704-7091
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Provider Business Mailing Address
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Address Line | 7815 SW 24TH ST STE 105
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City | MIAMI
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State | FL
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Zip | 33155-6541
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Country | US
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Telephone | 305-456-0866
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Fax | 786-391-2606
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MARIANA SZAJKO
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Credential |
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Telephone | 786-478-9287
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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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