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General NPI Number Information
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NPI Number | 1831505007
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Entity Type | Organization
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Legal Business Name | SCOTTS MEDICAL SUPPLY INC.
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Dates
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Enumeration Date | 07/08/2014
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Last Update Date | 06/02/2021
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Provider Practice Location Address
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Address Line | 1746 COSTA DEL SOL
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City | BOCA RATON
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State | FL
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Zip | 33432-1747
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Country | US
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Telephone | 800-304-7030
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Fax | 800-594-1226
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Provider Business Mailing Address
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Address Line | PO BOX 1484
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City | BOCA RATON
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State | FL
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Zip | 33429-1484
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Country | US
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Telephone | 800-304-7030
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Fax | 800-594-1226
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. GISELLE CHARLES
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Credential |
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Telephone | 800-304-7030
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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 | 2015082322
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License Number State | FL
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