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General NPI Number Information
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NPI Number | 1801173836
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Entity Type | Organization
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Legal Business Name | ADVANCED THERAPEUTIC SERVICES INC
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Dates
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Enumeration Date | 11/04/2011
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Last Update Date | 11/04/2011
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Provider Practice Location Address
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Address Line | 10386 SW 16TH CT
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-4770
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Country | US
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Telephone | 954-744-9446
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Fax | 800-317-5912
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Provider Business Mailing Address
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Address Line | PO BOX 245895
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-0114
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Country | US
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Telephone | 954-744-9446
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Fax | 800-317-5912
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Authorized Official
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Title or Position | PRES
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Name | ELIET URBAEZ
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Credential |
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Telephone | 954-744-9446
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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 | FL
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