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General NPI Number Information
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NPI Number | 1417246240
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Entity Type | Organization
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Legal Business Name | COMMERCE ACCESS
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Dates
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Enumeration Date | 04/01/2011
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Last Update Date | 04/01/2011
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Provider Practice Location Address
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Address Line | 2162 NW 82ND AVE
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City | DORAL
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State | FL
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Zip | 33122-1507
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Country | US
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Telephone | 305-785-4390
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Fax |
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Provider Business Mailing Address
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Address Line | 2162 NW 82ND AVE
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City | DORAL
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State | FL
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Zip | 33122-1507
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Country | US
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Telephone | 305-785-4390
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. THOMAS ROMERO
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Credential | PRESIDENT
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Telephone | 305-785-4390
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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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