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General NPI Number Information
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NPI Number | 1396781308
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Entity Type | Organization
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Legal Business Name | CAROLINA MEDICAL SERVICES INC
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 10/31/2007
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Provider Practice Location Address
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Address Line | 525 NW 27TH AVE # 101
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City | MIAMI
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State | FL
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Zip | 33125-3043
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Country | US
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Telephone | 305-642-3133
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Fax |
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Provider Business Mailing Address
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Address Line | 525 NW 27TH AVE # 101
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City | MIAMI
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State | FL
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Zip | 33125-3043
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Country | US
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Telephone | 305-642-3133
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TANIA GONZALEZ
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Credential |
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Telephone | 305-642-3133
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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 | 1578
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License Number State | FL
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