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General NPI Number Information
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NPI Number | 1801219787
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Entity Type | Organization
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Legal Business Name | BI COUNTY MEDICAL SUPPLY INC
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Dates
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Enumeration Date | 01/28/2014
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Last Update Date | 01/12/2015
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Provider Practice Location Address
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Address Line | 8377 PINES BLVD
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6607
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Country | US
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Telephone | 954-438-2915
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Fax |
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Provider Business Mailing Address
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Address Line | 1662 NW 36TH ST
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City | MIAMI
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State | FL
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Zip | 33142-5572
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Country | US
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Telephone | 305-637-0666
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Fax | 305-637-0740
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARLOS DIAZ-BATTE
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Credential |
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Telephone | 305-637-0666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH27383
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License Number State | FL
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