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General NPI Number Information
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NPI Number | 1376124693
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Entity Type | Organization
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Legal Business Name | KR MEDICAL SOLUTIONS
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Dates
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Enumeration Date | 04/19/2021
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 118 N METEOR AVE STE D
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City | CLEARWATER
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State | FL
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Zip | 33765-3045
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Country | US
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Telephone | 727-307-2628
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Fax | 727-270-9735
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Provider Business Mailing Address
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Address Line | 2320 26TH AVE S
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City | SAINT PETERSBURG
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State | FL
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Zip | 33712-3534
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Country | US
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Telephone | 727-307-2628
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Fax | 727-270-9735
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Authorized Official
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Title or Position | OWNER
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Name | MARIAH M HARRIS
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Credential |
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Telephone | 727-307-2628
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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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