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General NPI Number Information
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NPI Number | 1700084969
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Entity Type | Organization
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Legal Business Name | SPECIALTY FURNITURE PRODUCTS INC.
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 07/10/2007
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Provider Practice Location Address
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Address Line | 1060 E INDUSTRIAL DR SUITE T
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City | ORANGE CITY
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State | FL
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Zip | 32763-7112
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Country | US
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Telephone | 386-789-2278
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Fax |
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Provider Business Mailing Address
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Address Line | 1060 E INDUSTRIAL DR SUITE T
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City | ORANGE CITY
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State | FL
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Zip | 32763-7112
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Country | US
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Telephone | 386-789-2278
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. JOANN L KEMPER
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Credential |
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Telephone | 386-789-2278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 7041001
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License Number State | FL
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