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General NPI Number Information
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NPI Number | 1588211957
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Entity Type | Organization
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Legal Business Name | OAC ACTION CONSTRUCTION CORP.
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Dates
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Enumeration Date | 08/21/2019
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Last Update Date | 08/21/2019
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Provider Practice Location Address
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Address Line | 11980 SW 144TH CT STE 101
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City | MIAMI
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State | FL
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Zip | 33186-8603
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Country | US
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Telephone | 305-256-6655
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Fax | 305-256-1000
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Provider Business Mailing Address
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Address Line | 11980 SW 144TH CT STE 101
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City | MIAMI
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State | FL
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Zip | 33186-8603
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Country | US
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Telephone | 305-256-6655
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Fax | 305-256-1000
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Authorized Official
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Title or Position | OWNER
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Name | MR. OZVARDO CRUZ
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Credential |
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Telephone | 305-256-6655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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