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General NPI Number Information
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NPI Number | 1861770695
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Entity Type | Organization
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Legal Business Name | DIABETIC SCIENCE INC
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Dates
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Enumeration Date | 07/27/2011
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 509 S 21ST AVE 102
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City | HOLLYWOOD
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State | FL
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Zip | 33020-5037
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Country | US
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Telephone | 954-448-4501
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Fax |
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Provider Business Mailing Address
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Address Line | 1260 SW 82ND TER 212
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City | PLANTATION
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State | FL
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Zip | 33324-3215
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Country | US
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Telephone | 954-448-4501
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSEPH BEYHAN
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Credential | DIABETIC SUPPLIER
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Telephone | 954-448-4501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State | FL
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