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General NPI Number Information
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NPI Number | 1588703201
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Entity Type | Organization
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Legal Business Name | CENTER FOR DIABETIC SUPPLIES, INC.
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 05/12/2016
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Provider Practice Location Address
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Address Line | 1615 S CONGRESS AVE SUITE 102
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City | DELRAY BEACH
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State | FL
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Zip | 33445-6300
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Country | US
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Telephone | 561-265-4484
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Fax | 866-595-4787
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Provider Business Mailing Address
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Address Line | 1615 S CONGRESS AVE SUITE 102
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City | DELRAY BEACH
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State | FL
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Zip | 33445-6300
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Country | US
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Telephone | 561-265-4484
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Fax | 866-595-4787
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MINDY POSNER
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Credential |
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Telephone | 561-265-4484
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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 | 2006-05148
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License Number State | FL
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