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General NPI Number Information
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NPI Number | 1528091048
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Entity Type | Organization
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Legal Business Name | OLOFI SERVICE, INC.
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12926 SW 133RD CT
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City | MIAMI
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State | FL
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Zip | 33186-6587
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Country | US
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Telephone | 305-969-5390
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Fax |
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Provider Business Mailing Address
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Address Line | 720 NW 27TH CT APT. 17
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City | MIAMI
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State | FL
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Zip | 33125-4346
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Country | US
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Telephone | 786-286-3338
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. HECTOR L. GONZALEZ
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Credential |
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Telephone | 305-969-5390
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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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