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General NPI Number Information
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NPI Number | 1396941399
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Entity Type | Organization
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Legal Business Name | MEDI-PLUS EQUIPMENT & SUPPLIES CORP.
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 07/11/2008
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Provider Practice Location Address
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Address Line | 4615 NW 72ND AVE SUITE104
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City | MIAMI
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State | FL
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Zip | 33166-5689
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Country | US
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Telephone | 305-716-0909
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Fax | 305-716-0901
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Provider Business Mailing Address
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Address Line | 4615 NW 72ND AVE SUITE 104
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City | MIAMI
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State | FL
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Zip | 33166-5689
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Country | US
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Telephone | 305-716-0909
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Fax | 305-716-0901
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JULIO CESAR LLANO
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Credential |
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Telephone | 305-716-0909
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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 | HME 1313377
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License Number State | FL
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