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General NPI Number Information
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NPI Number | 1376132548
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Entity Type | Organization
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Legal Business Name | WSB MEDICAL SUPPLY LLC
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Dates
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Enumeration Date | 01/13/2021
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Last Update Date | 06/07/2022
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Provider Practice Location Address
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Address Line | 3200 N FEDERAL HWY STE 206-20
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City | BOCA RATON
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State | FL
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Zip | 33431-6049
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Country | US
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Telephone | 877-631-1704
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Fax |
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Provider Business Mailing Address
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Address Line | 3200 N FEDERAL HWY STE 206-20
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City | BOCA RATON
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State | FL
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Zip | 33431-6049
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Country | US
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Telephone | 877-631-1704
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Fax |
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Authorized Official
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Title or Position | AO
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Name | ANTHONY JOSEPH BASILE
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Credential |
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Telephone | 954-330-8776
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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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