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General NPI Number Information
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NPI Number | 1447712518
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Entity Type | Organization
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Legal Business Name | ELECTROSTIM MEDICAL SERVICES, INC.
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Dates
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Enumeration Date | 04/05/2019
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Last Update Date | 08/24/2021
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Provider Practice Location Address
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Address Line | 9278 STORAGE WAY
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City | LOUISVILLE
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State | KY
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Zip | 40291-4825
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Country | US
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Telephone | 800-588-8383
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Fax |
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Provider Business Mailing Address
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Address Line | 3504 CRAGMONT DR STE 100
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City | TAMPA
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State | FL
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Zip | 33619-8300
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Country | US
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Telephone | 813-931-2369
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MARIO GARCIA JR.
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Credential |
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Telephone | 813-931-2369
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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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