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General NPI Number Information
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NPI Number | 1770105124
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Entity Type | Organization
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Legal Business Name | DURAMED SUPPLY LLC
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Dates
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Enumeration Date | 05/08/2020
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Last Update Date | 05/08/2020
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Provider Practice Location Address
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Address Line | 16100 NE 16TH AVE STE B
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-4708
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Country | US
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Telephone | 305-949-5999
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Fax |
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Provider Business Mailing Address
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Address Line | 16100 NE 16TH AVE STE B
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-4708
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Country | US
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Telephone | 305-949-5999
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARC WEINBERG
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Credential | DC
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Telephone | 305-949-5999
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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 |
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License Number State |
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