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General NPI Number Information
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NPI Number | 1407901705
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Entity Type | Organization
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Legal Business Name | DBR DEVELOPMENT CORP.
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 145 PALM BAY RD NE SUITE 108
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City | WEST MELBOURNE
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State | FL
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Zip | 32904-8601
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Country | US
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Telephone | 321-725-8750
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Fax | 321-725-8755
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Provider Business Mailing Address
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Address Line | 145 PALM BAY RD NE SUITE 108
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City | WEST MELBOURNE
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State | FL
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Zip | 32904-8601
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Country | US
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Telephone | 321-725-8750
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Fax | 321-725-8755
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Authorized Official
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Title or Position | LICENSED ORTHOTIST
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Name | MR. DOUGLAS MICHAEL ROEHL
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Credential | CO
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Telephone | 407-973-9480
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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 | ORT 33
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License Number State | FL
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