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General NPI Number Information
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NPI Number | 1881780377
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Entity Type | Organization
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Legal Business Name | OPH MEDICAL SUPPLY INC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 11/26/2007
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Provider Practice Location Address
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Address Line | 8181 NW 36TH ST SUITE 25 E
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City | DORAL
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State | FL
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Zip | 33166-6671
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Country | US
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Telephone | 786-336-8212
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Fax | 305-358-7832
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Provider Business Mailing Address
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Address Line | 8181 NW 36TH ST SUITE 25 E
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City | DORAL
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State | FL
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Zip | 33166-6671
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Country | US
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Telephone | 786-336-8212
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Fax | 305-358-7832
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Authorized Official
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Title or Position | PRESIDENT
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Name | OMAYRA HERNANDEZ
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Credential |
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Telephone | 786-336-8212
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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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