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General NPI Number Information
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NPI Number | 1689616187
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Entity Type | Organization
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Legal Business Name | DIABETIC MEDIQUIP SOLUTION, INC
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 133 NE 3RD RD
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City | HOMESTEAD
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State | FL
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Zip | 33030-6124
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Country | US
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Telephone | 786-205-3599
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Fax |
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Provider Business Mailing Address
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Address Line | 133 NE 3RD RD
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City | HOMESTEAD
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State | FL
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Zip | 33030-6124
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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 | PRESIDENT
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Name | LILIANA BARRANCO
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Credential |
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Telephone | 786-205-3599
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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 | N/A
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License Number State |
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