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General NPI Number Information
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NPI Number | 1568828267
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Entity Type | Organization
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Legal Business Name | EMPIRE MEDICAL EQUIPMENT AND SUPPLIES LLC
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Dates
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Enumeration Date | 01/11/2016
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Last Update Date | 07/25/2016
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Provider Practice Location Address
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Address Line | 7900 GLADES RD STE 650
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City | BOCA RATON
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State | FL
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Zip | 33434-4172
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Country | US
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Telephone | 561-852-7267
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Fax | 561-483-3105
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Provider Business Mailing Address
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Address Line | 7900 GLADES RD STE 650
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City | BOCA RATON
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State | FL
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Zip | 33434-4172
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Country | US
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Telephone | 561-852-7267
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Fax | 561-483-3105
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Authorized Official
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Title or Position | OWNER
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Name | MR. RAYMOND D SHORES
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Credential |
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Telephone | 334-717-1066
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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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