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General NPI Number Information
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NPI Number | 1497821946
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Entity Type | Organization
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Legal Business Name | LMC MEDICAL SUPPLIES, INC.
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 04/30/2018
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Provider Practice Location Address
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Address Line | 950 PENINSULA CORPORATE CIR STE 1022
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City | BOCA RATON
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State | FL
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Zip | 33487-1385
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Country | US
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Telephone | 877-855-6655
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Fax | 561-828-8228
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Provider Business Mailing Address
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Address Line | 950 PENINSULA CORPORATE CIR STE 1022
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City | BOCA RATON
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State | FL
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Zip | 33487-1385
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Country | US
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Telephone | 877-855-6655
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Fax | 561-828-8228
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Authorized Official
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Title or Position | CEO
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Name | MS. BONNIE KNICKERBOCKER
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Credential |
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Telephone | 877-855-6655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH25928
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License Number State | FL
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Taxonomy #2
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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 | FL
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