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General NPI Number Information
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NPI Number | 1427810589
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Entity Type | Organization
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Legal Business Name | SNS DISTRIBUTIONS LLC
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Dates
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Enumeration Date | 01/24/2024
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Last Update Date | 01/24/2024
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Provider Practice Location Address
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Address Line | 9309 BYRON AVE
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City | SURFSIDE
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State | FL
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Zip | 33154-2437
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Country | US
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Telephone | 443-686-0929
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Fax |
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Provider Business Mailing Address
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Address Line | 1037 BOCA COVE LN
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City | HIGHLAND BEACH
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State | FL
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Zip | 33487-4242
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Country | US
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Telephone | 786-908-7315
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | NICHOLAS RAYMOND SANTIAGO
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Credential |
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Telephone | 443-686-0929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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