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General NPI Number Information
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NPI Number | 1770468787
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Entity Type | Organization
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Legal Business Name | DECOST SOLUTION SERVICES LLC
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Dates
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Enumeration Date | 08/08/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 3111 FORTUNE WAY STE B17
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City | WELLINGTON
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State | FL
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Zip | 33414-8707
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Country | US
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Telephone | 786-393-0836
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Fax |
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Provider Business Mailing Address
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Address Line | 3111 FORTUNE WAY STE B17
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City | WELLINGTON
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State | FL
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Zip | 33414-8707
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Country | US
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Telephone | 786-393-0836
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTOPHER DALE ABRASLEY
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Credential | M.D
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Telephone | 786-393-0836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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