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General NPI Number Information
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NPI Number | 1487384731
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Entity Type | Organization
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Legal Business Name | 5 STAR MEDICAL SUPPLY, INC.
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Dates
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Enumeration Date | 06/10/2022
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Last Update Date | 06/10/2022
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Provider Practice Location Address
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Address Line | 17329 BOCA CLUB BLVD APT 5
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City | BOCA RATON
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State | FL
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Zip | 33487-1028
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Country | US
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Telephone | 267-467-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 17329 BOCA CLUB BLVD APT 5
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City | BOCA RATON
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State | FL
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Zip | 33487-1028
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Country | US
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Telephone | 267-467-8900
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. NONNA RIMAR
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Credential |
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Telephone | 267-467-8900
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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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