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General NPI Number Information
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NPI Number | 1356948129
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Entity Type | Organization
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Legal Business Name | C&S XCHANGE ENTERPRISE, LLC
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Dates
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Enumeration Date | 10/05/2020
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Last Update Date | 10/28/2021
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Provider Practice Location Address
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Address Line | 607 MUSKRAT DR
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City | POINCIANA
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State | FL
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Zip | 34759-4310
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Country | US
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Telephone | 855-263-7529
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Fax | 561-677-9527
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Provider Business Mailing Address
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Address Line | 607 MUSKRAT DR
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City | POINCIANA
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State | FL
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Zip | 34759-4310
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Country | US
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Telephone | 561-425-3276
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CARLA M COVINGTON
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Credential |
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Telephone | 561-425-3276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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