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General NPI Number Information
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NPI Number | 1396758389
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Entity Type | Organization
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Legal Business Name | ONE MEDICAL SUPPLIES INC
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 08/13/2021
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Provider Practice Location Address
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Address Line | 4270 SW 71ST AVE
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City | MIAMI
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State | FL
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Zip | 33155-4669
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Country | US
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Telephone | 305-643-5253
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Fax | 305-643-4430
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Provider Business Mailing Address
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Address Line | 4270 SW 71ST AVE
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City | MIAMI
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State | FL
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Zip | 33155-4669
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Country | US
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Telephone | 305-643-5253
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Fax | 305-643-4430
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | MRS. ILEANA CARIDAD IVIRICU
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Credential |
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Telephone | 305-794-9931
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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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