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NPI 1669132916

NPI 1669132916 : LGO SERVICES SOLUTIONS CORP : MIAMI LAKES, FL

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General NPI Number Information
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    NPI Number           |    1669132916
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    Entity Type          |    Organization 
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    Legal Business Name  |    LGO SERVICES SOLUTIONS CORP 
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Dates
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    Enumeration Date     |    12/28/2021
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    Last Update Date     |    07/28/2022
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Provider Practice Location Address
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    Address Line         |    5951 NW 151ST ST STE 211 
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    City                 |    MIAMI LAKES
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    State                |    FL
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    Zip                  |    33014-2445
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    Country              |    US
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    Telephone            |    786-558-5345
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5951 NW 151ST ST STE 211 
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    City                 |    MIAMI LAKES
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    State                |    FL
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    Zip                  |    33014-2445
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    Country              |    US
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    Telephone            |    786-558-5345
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ELIESER  NORTE FERRERA 
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    Credential           |    
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    Telephone            |    786-558-5345
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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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