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General NPI Number Information
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NPI Number | 1750511333
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Entity Type | Individual
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Provider Name | TIMOTHY SCOTT SAXON DME SUPPLIER
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Gender | Male
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Dates
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Enumeration Date | 07/17/2009
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Last Update Date | 07/17/2009
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Provider Practice Location Address
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Address Line | 13221 GOLF RIDGE PL
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City | HUDSON
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State | FL
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Zip | 34669-2461
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Country | US
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Telephone | 727-207-0093
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Fax |
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Provider Business Mailing Address
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Address Line | 13221 GOLF RIDGE PL
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City | HUDSON
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State | FL
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Zip | 34669
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Country | US
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Telephone | 727-207-0093
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 255-431-006
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 255431006
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License Number State | NY
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