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General NPI Number Information
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NPI Number | 1760515472
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Entity Type | Organization
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Legal Business Name | DEEKUN ENTERPRISE,INC
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 02/11/2008
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Provider Practice Location Address
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Address Line | 4401 NORTHLAKE BLVD
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-6255
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Country | US
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Telephone | 772-334-4200
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Fax | 772-463-5981
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Provider Business Mailing Address
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Address Line | 7897 SW JACK JAMES DR SUITE A
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City | STUART
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State | FL
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Zip | 34997-7200
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Country | US
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Telephone | 772-334-4200
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Fax | 772-463-5981
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAVID T LECHNER
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Credential |
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Telephone | 772-334-4200
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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 | 1959
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License Number State | FL
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