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General NPI Number Information
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NPI Number | 1629879705
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Entity Type | Organization
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Legal Business Name | AIDPRO DME LLC
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 2900 NW 112TH AVE FL 33172
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City | DORAL
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State | FL
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Zip | 33172-5071
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Country | US
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Telephone | 786-873-9048
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Fax |
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Provider Business Mailing Address
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Address Line | 8458 NW 103RD ST APT 103E
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City | HIALEAH GARDENS
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State | FL
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Zip | 33016-4680
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Country | US
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Telephone | 786-760-2749
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DARGENYS DURAN
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Credential |
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Telephone | 786-873-9048
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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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