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General NPI Number Information
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NPI Number | 1639340276
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Entity Type | Organization
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Legal Business Name | BRAS AND SPECIALTIES INC
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Dates
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Enumeration Date | 03/21/2008
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Last Update Date | 04/01/2010
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Provider Practice Location Address
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Address Line | 177 SE MIZNER BLVD STE 36
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City | BOCA RATON
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State | FL
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Zip | 33432-5007
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Country | US
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Telephone | 561-826-2727
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Fax | 561-826-2727
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Provider Business Mailing Address
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Address Line | 177 SE MIZNER BLVD STE 36
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City | BOCA RATON
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State | FL
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Zip | 33432-5007
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Country | US
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Telephone | 561-826-2727
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Fax | 561-826-2727
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROY LEIFER
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Credential |
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Telephone | 561-826-2727
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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 | 608013409071-9
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License Number State | FL
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