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General NPI Number Information
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NPI Number | 1730426826
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Entity Type | Organization
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Legal Business Name | TEKNUOMSKY INC
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Dates
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Enumeration Date | 01/09/2013
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Last Update Date | 01/09/2013
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Provider Practice Location Address
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Address Line | 5801 N FEDERAL HWY
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City | BOCA RATON
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State | FL
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Zip | 33487-4049
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Country | US
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Telephone | 561-999-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 3700 HACIENDA BLVD STE H
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City | DAVIE
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State | FL
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Zip | 33314-2823
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Country | US
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Telephone | 954-325-1063
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILLIAM BRUCE EARL
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Credential |
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Telephone | 954-325-1063
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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 | PS18414
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License Number State | FL
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