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General NPI Number Information
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NPI Number | 1396604849
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Entity Type | Organization
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Legal Business Name | PRECISION FIT MASTECTOMY BOUTIQUE LLC
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 1860 N PINE ISLAND RD STE 104
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City | PLANTATION
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State | FL
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Zip | 33322-5234
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Country | US
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Telephone | 754-200-4859
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Fax | 754-203-0230
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Provider Business Mailing Address
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Address Line | 1860 N PINE ISLAND RD STE 104
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City | PLANTATION
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State | FL
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Zip | 33322-5234
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Country | US
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Telephone | 754-200-4859
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Fax | 754-203-0230
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Authorized Official
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Title or Position | OWNER/CEO
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Name | GLORIA FIRNHABER
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Credential |
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Telephone | 754-200-4859
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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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