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NPI 1578505103

NPI 1578505103 : SAMKIN GLOBAL, INC. : JACKSONVILLE, FL

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General NPI Number Information
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    NPI Number           |    1578505103
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    Entity Type          |    Organization 
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    Legal Business Name  |    SAMKIN GLOBAL, INC. 
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Dates
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    Enumeration Date     |    06/11/2006
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    Last Update Date     |    02/22/2012
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Provider Practice Location Address
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    Address Line         |    3948 SUNBEAM RD SUITE 3
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    City                 |    JACKSONVILLE
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    State                |    FL
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    Zip                  |    32257-8852
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    Country              |    US
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    Telephone            |    904-900-3340
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    Fax                  |    904-900-3455
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Provider Business Mailing Address
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    Address Line         |    3948 SUNBEAM RD SUITE 3
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    City                 |    JACKSONVILLE
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    State                |    FL
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    Zip                  |    32257-8852
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    Country              |    US
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    Telephone            |    904-900-3340
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    Fax                  |    904-900-3455
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Authorized Official
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    Title or Position    |    OWNER PRESIDENT
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    Name                 |    MRS. SUDHA M CHANGELA 
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    Credential           |    
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    Telephone            |    904-900-3340
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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       |    0622617
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    License Number State |    FL
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