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General NPI Number Information
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NPI Number | 1891775391
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Entity Type | Organization
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Legal Business Name | BROOKE BRANDON INC
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 02/25/2008
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Provider Practice Location Address
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Address Line | 1803 NE 146TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33181-1423
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Country | US
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Telephone | 305-405-6333
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Fax | 305-405-6340
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Provider Business Mailing Address
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Address Line | 1803 NE 146TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33181-1423
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Country | US
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Telephone | 305-405-6333
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Fax | 305-405-6340
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Authorized Official
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Title or Position | MANAGING OFFICIAL
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Name | MARK LEVITHAN
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Credential |
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Telephone | 305-405-6333
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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 | 384
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License Number State | FL
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