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General NPI Number Information
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NPI Number | 1609686104
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Entity Type | Organization
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Legal Business Name | PRO HEALTH EXPRESS LLC.
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Dates
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Enumeration Date | 01/08/2025
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 450 N PARK RD STE 601
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6936
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Country | US
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Telephone | 754-888-9271
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Fax |
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Provider Business Mailing Address
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Address Line | 450 N PARK RD STE 601
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6936
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Country | US
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Telephone | 754-888-9271
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CARLOS HIDALGO-GATO
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Credential |
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Telephone | 786-356-1967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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