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General NPI Number Information
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NPI Number | 1811440191
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Entity Type | Organization
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Legal Business Name | FUSTER MED SUPPLIES INC
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Dates
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Enumeration Date | 08/03/2016
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Last Update Date | 04/04/2017
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Provider Practice Location Address
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Address Line | 5545 SW 8TH ST STE 209
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City | CORAL GABLES
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State | FL
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Zip | 33134-2287
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Country | US
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Telephone | 786-558-8857
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Fax | 786-475-3545
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Provider Business Mailing Address
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Address Line | 5545 SW 8TH ST STE 209
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City | CORAL GABLES
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State | FL
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Zip | 33134-2287
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Country | US
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Telephone | 786-558-8857
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Fax | 786-475-3545
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Authorized Official
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Title or Position | PRESIDENT
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Name | PASTOR FUSTER
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Credential |
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Telephone | 786-286-6909
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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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