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General NPI Number Information
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NPI Number | 1568891091
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Entity Type | Organization
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Legal Business Name | B.S.L. CONSTRUCTION., CO
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Dates
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Enumeration Date | 11/05/2013
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Last Update Date | 11/05/2013
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Provider Practice Location Address
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Address Line | 5693 NW NORTH MACEDO BLVD
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34983-8351
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Country | US
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Telephone | 772-480-4331
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Fax |
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Provider Business Mailing Address
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Address Line | 5693 NW NORTH MACEDO BLVD
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34983-8351
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Country | US
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Telephone | 772-480-4331
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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. BYRON SEYMORE LENOFF
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Credential |
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Telephone | 772-480-4331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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