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General NPI Number Information
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NPI Number | 1649576430
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Entity Type | Organization
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Legal Business Name | MEDICAL SUPPORT INTERNATIONAL
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Dates
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Enumeration Date | 01/27/2011
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Last Update Date | 01/27/2011
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Provider Practice Location Address
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Address Line | 9314 FOREST HILL BLVD SUITE 110
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City | WELLINGTON
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State | FL
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Zip | 33411-6577
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Country | US
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Telephone | 888-874-8604
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Fax | 561-282-6285
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Provider Business Mailing Address
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Address Line | 9314 FOREST HILL BLVD SUITE 110
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City | WELLINGTON
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State | FL
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Zip | 33411-6577
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Country | US
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Telephone | 888-874-8604
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Fax | 561-282-6285
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | EDGAR RIVERA
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Credential |
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Telephone | 888-874-6504
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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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