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General NPI Number Information
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NPI Number | 1689420226
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Entity Type | Organization
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Legal Business Name | NEXUS DME LLC
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Dates
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Enumeration Date | 04/25/2024
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 6757 US HIGHWAY 98 W STE 302
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City | SANTA ROSA BEACH
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State | FL
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Zip | 32459-4780
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Country | US
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Telephone | 850-208-1850
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Fax |
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Provider Business Mailing Address
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Address Line | 205 SEVERIN DR
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City | PENSACOLA
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State | FL
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Zip | 32503-3156
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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 | CHIEF DENTAL OFFICER
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Name | DR. CHRISTOPHER FARRUGIA
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Credential | DDS
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Telephone | 850-501-4146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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