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General NPI Number Information
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NPI Number | 1417847666
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Entity Type | Organization
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Legal Business Name | NEXUSWAVE LLC
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 11900 BISCAYNE BLVD
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2743
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Country | US
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Telephone | 786-977-5683
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Fax |
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Provider Business Mailing Address
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Address Line | 18117 BISCAYNE BLVD # 61795
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City | AVENTURA
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State | FL
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Zip | 33160-2535
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Country | US
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Telephone | 786-284-6376
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. KATHERINE THOMPSON
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Credential |
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Telephone | 954-451-1769
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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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