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General NPI Number Information
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NPI Number | 1609367937
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Entity Type | Organization
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Legal Business Name | S B TRUST LLC
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Dates
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Enumeration Date | 05/22/2018
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Last Update Date | 05/15/2019
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Provider Practice Location Address
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Address Line | 2755 S FEDERAL HWY STE 5
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7742
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Country | US
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Telephone | 561-877-6894
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Fax | 561-423-7900
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Provider Business Mailing Address
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Address Line | 2755 S FEDERAL HWY STE 5
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7742
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Country | US
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Telephone | 561-877-6894
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Fax | 561-432-7900
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Authorized Official
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Title or Position | PRESIDENT
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Name | RYAN BROCK
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Credential |
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Telephone | 561-877-6894
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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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