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General NPI Number Information
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NPI Number | 1740400522
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Entity Type | Organization
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Legal Business Name | M & M SUPPLY SERVICES GROUP, INC.
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 13260 SW 131ST ST SUITE 127
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City | MIAMI
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State | FL
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Zip | 33186-5871
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Country | US
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Telephone | 305-254-3050
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Fax | 305-254-0170
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Provider Business Mailing Address
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Address Line | 13260 SW 131ST ST SUITE 127
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City | MIAMI
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State | FL
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Zip | 33186-5871
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Country | US
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Telephone | 305-254-3050
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Fax | 305-254-0170
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARGARET GUEVARA
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Credential |
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Telephone | 305-254-3050
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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 | 32 6536
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License Number State | FL
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