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General NPI Number Information
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NPI Number | 1649501727
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Entity Type | Organization
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Legal Business Name | PR MEDICAL INC
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Dates
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Enumeration Date | 01/29/2010
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Last Update Date | 01/29/2010
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Provider Practice Location Address
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Address Line | 300 E OAKLAND PARK BLVD 322
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City | OAKLAND PARK
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State | FL
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Zip | 33334-2148
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Country | US
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Telephone | 561-338-9384
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Fax |
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Provider Business Mailing Address
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Address Line | 300 E OAKLAND PARK BLVD 322
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City | OAKLAND PARK
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State | FL
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Zip | 33334-2148
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | KEN CASTINO
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Credential |
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Telephone | 561-338-9384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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