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General NPI Number Information
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NPI Number | 1740833987
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Entity Type | Organization
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Legal Business Name | TRISTAR MEDICAL, LLC
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Dates
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Enumeration Date | 07/17/2019
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 400 W 41ST ST STE 401
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3516
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Country | US
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Telephone | 305-604-9595
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Fax | 305-604-9257
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Provider Business Mailing Address
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Address Line | 400 W 41ST ST STE 401
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3516
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Country | US
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Telephone | 305-604-9595
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Fax | 305-604-9257
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Authorized Official
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Title or Position | PRESIDENT
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Name | REANNA RAMKHELAWAN
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Credential |
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Telephone | 305-604-9595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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