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General NPI Number Information
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NPI Number | 1902381809
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Entity Type | Organization
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Legal Business Name | SIMPLY MEDICAL EQUIPMENT LLC
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Dates
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Enumeration Date | 09/27/2018
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 1515 E TROPICANA AVE
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City | LAS VEGAS
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State | NV
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Zip | 89119-6517
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Country | US
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Telephone | 786-344-7829
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Fax |
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Provider Business Mailing Address
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Address Line | 3505 S OCEAN DR APT 209
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City | HOLLYWOOD
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State | FL
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Zip | 33019-2811
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SAN LAZARO CARNERO
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Credential |
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Telephone | 786-344-7829
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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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