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General NPI Number Information
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NPI Number | 1740331305
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Entity Type | Organization
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Legal Business Name | SUNCOAST O2 SYSTEMS INC.
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5213 1ST AVENUE S
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City | ST. PETERSBURG
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State | FL
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Zip | 33707
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Country | US
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Telephone | 888-770-8622
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Fax | 727-328-9581
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Provider Business Mailing Address
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Address Line | 5213 1ST AVENUE S
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City | ST. PETERSBURG
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State | FL
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Zip | 33707
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Country | US
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Telephone | 888-770-8622
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Fax | 727-328-9581
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DENNIS RONALD JACQUES
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Credential |
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Telephone | 727-804-5402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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