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General NPI Number Information
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NPI Number | 1790793024
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Entity Type | Organization
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Legal Business Name | DAILY MEDICAL SUPPLY INCORPORATED
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6955 NW 77TH AVE 408 C
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City | MIAMI
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State | FL
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Zip | 33166-2852
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Country | US
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Telephone | 786-337-7033
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Fax | 305-887-0233
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Provider Business Mailing Address
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Address Line | 6955 NW 77TH AVE 408 C
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City | MIAMI
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State | FL
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Zip | 33166-2852
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Country | US
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Telephone | 786-337-7033
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Fax | 305-887-0233
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Authorized Official
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Title or Position | PRESIDENT
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Name | REYNEL GONZALEZ
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Credential |
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Telephone | 786-337-7033
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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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