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General NPI Number Information
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NPI Number | 1881758092
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Entity Type | Organization
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Legal Business Name | FAMILY MEDICAL EQUIPMENT & SUPPLY, INC.
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2290 S VOLUSIA AVE STE F2
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City | ORANGE CITY
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State | FL
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Zip | 32763-7600
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Country | US
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Telephone | 386-775-1034
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Fax | 386-775-8181
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Provider Business Mailing Address
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Address Line | 1610 LANGAN AVE
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City | DELTONA
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State | FL
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Zip | 32738-5252
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Country | US
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Telephone | 386-775-1034
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Fax | 386-775-8181
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Authorized Official
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Title or Position | PRESIDENT
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Name | ABBY ROQUE
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Credential |
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Telephone | 386-775-1034
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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 | 1312335
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License Number State | FL
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