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General NPI Number Information
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NPI Number | 1619915840
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Entity Type | Organization
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Legal Business Name | DIABETIC MEDICAL SERVICES INC
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 01/30/2009
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Provider Practice Location Address
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Address Line | 11870 W STATE ROAD 84 SUITE C-6
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City | DAVIE
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State | FL
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Zip | 33325-3816
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Country | US
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Telephone | 954-533-2355
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Fax | 888-789-5889
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Provider Business Mailing Address
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Address Line | 11870 W STATE ROAD 84 SUITE C-6
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City | DAVIE
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State | FL
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Zip | 33325-3816
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Country | US
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Telephone | 954-533-2355
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Fax | 888-789-5889
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PATRICK CARRABIS
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Credential |
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Telephone | 954-533-2355
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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 | 16-80133948180
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License Number State | FL
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