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General NPI Number Information
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NPI Number | 1457250755
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Entity Type | Organization
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Legal Business Name | PARADIS HS MEDICAL EQUIPMENT AND SUPPLIES
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 1315 N DIXIE HWY
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City | LAKE WORTH BEACH
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State | FL
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Zip | 33460-1805
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Country | US
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Telephone | 561-557-1003
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Fax | 561-906-9566
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Provider Business Mailing Address
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Address Line | 1315 N DIXIE HWY
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City | LAKE WORTH BEACH
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State | FL
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Zip | 33460-1805
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Country | US
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Telephone | 561-906-9566
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Fax | 561-557-1009
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Authorized Official
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Title or Position | CEO
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Name | DR. AUDEANNE D DONALDSON
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Credential | PHD, RN
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Telephone | 561-906-9566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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