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General NPI Number Information
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NPI Number | 1679827547
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Entity Type | Organization
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Legal Business Name | M.A.X. CORP
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Dates
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Enumeration Date | 10/31/2012
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Last Update Date | 10/31/2012
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Provider Practice Location Address
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Address Line | 2310 E OAKLAND PARK BLVD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1101
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Country | US
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Telephone | 954-563-4226
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Fax | 954-563-8485
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Provider Business Mailing Address
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Address Line | 2310 E OAKLAND PARK BLVD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1101
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Country | US
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Telephone | 954-563-4226
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Fax | 954-563-8485
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Authorized Official
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Title or Position | OWNER
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Name | MS. MARIA DOLORES ROSA
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Credential | HAS, BC-HIS
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Telephone | 954-563-4226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | AS2761
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License Number State | FL
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