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General NPI Number Information
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NPI Number | 1558408211
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Entity Type | Organization
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Legal Business Name | A&G DISTRIBUTION INC
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3900 NW 79TH AVE STE 648
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City | DORAL
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State | FL
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Zip | 33166-6550
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Country | US
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Telephone | 305-597-3842
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Fax | 305-597-5234
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Provider Business Mailing Address
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Address Line | 3900 NW 79TH AVE STE 648
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City | DORAL
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State | FL
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Zip | 33166-6550
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Country | US
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Telephone | 305-597-3842
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Fax | 305-597-5234
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ODALYS SUAREZ
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Credential |
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Telephone | 305-597-3842
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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 | FL
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