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General NPI Number Information
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NPI Number | 1851880132
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Entity Type | Organization
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Legal Business Name | SELECT MEDICAL SOLUTIONS LLC
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Dates
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Enumeration Date | 05/02/2018
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Last Update Date | 08/20/2018
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Provider Practice Location Address
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Address Line | 4575 WHITTON WAY UNIT# 1119
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653
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Country | US
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Telephone | 833-767-8367
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 471
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City | PALM HARBOR
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State | FL
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Zip | 34682-0471
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Country | US
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Telephone | 833-767-8367
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. DAN ACEVEDO
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Credential |
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Telephone | 833-767-8367
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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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