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General NPI Number Information
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NPI Number | 1760485940
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Entity Type | Organization
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Legal Business Name | FIRST RESPONSE MEDICAL CORP
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10240 SW 56TH ST STE 112C
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City | MIAMI
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State | FL
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Zip | 33165-7070
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Country | US
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Telephone | 305-412-9393
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Fax | 305-412-9394
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Provider Business Mailing Address
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Address Line | 10240 SW 56TH ST STE 112C
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City | MIAMI
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State | FL
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Zip | 33165-7070
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Country | US
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Telephone | 305-412-9393
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Fax | 305-412-9394
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MARISSA GONZALEZ
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Credential |
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Telephone | 305-412-9393
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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 | 01875
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License Number State | FL
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