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General NPI Number Information
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NPI Number | 1518063502
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Entity Type | Organization
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Legal Business Name | H & J SUPPLY, INC
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15321 NW 60TH AVE 109
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2484
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Country | US
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Telephone | 305-557-2640
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Fax |
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Provider Business Mailing Address
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Address Line | 15321 NW 60TH AVE 109
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2484
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Country | US
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Telephone | 305-557-2640
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HELEN IZQUIERDO
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Credential |
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Telephone | 305-557-2640
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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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