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General NPI Number Information
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NPI Number | 1730851833
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Entity Type | Organization
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Legal Business Name | PATRIOT MED SUPPLIES LLC
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Dates
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Enumeration Date | 09/28/2021
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Last Update Date | 09/28/2021
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Provider Practice Location Address
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Address Line | 370 CAMINO GARDENS BLVD # 305
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City | BOCA RATON
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State | FL
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Zip | 33432-5816
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Country | US
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Telephone | 561-972-1784
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Fax |
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Provider Business Mailing Address
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Address Line | 370 CAMINO GARDENS BLVD # 305
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City | BOCA RATON
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State | FL
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Zip | 33432-5816
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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 | MGR
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Name | ZACHARY SEID
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Credential |
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Telephone | 561-972-1784
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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 |
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License Number State |
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