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General NPI Number Information
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NPI Number | 1447568969
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Entity Type | Organization
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Legal Business Name | AAA DISCOUNT MEDICAL SUPPLY, INC
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Dates
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Enumeration Date | 09/17/2010
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Last Update Date | 09/17/2010
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Provider Practice Location Address
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Address Line | 5471 N DIXIE HWY #8
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City | BOCA RATON
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State | FL
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Zip | 33487-4905
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Country | US
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Telephone | 561-893-9670
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Fax | 561-893-9669
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Provider Business Mailing Address
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Address Line | 5471 N DIXIE HWY #8
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City | BOCA RATON
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State | FL
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Zip | 33487-4905
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Country | US
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Telephone | 561-893-9670
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Fax | 561-893-9669
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FRANKIE LANE
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Credential |
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Telephone | 561-893-9670
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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 | 1313049
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License Number State | FL
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