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General NPI Number Information
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NPI Number | 1912043563
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Entity Type | Organization
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Legal Business Name | MJM GLOBAL ENTERPRISES INC
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1600 NW BOCA RATON BLVD SUITE 14
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City | BOCA RATON
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State | FL
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Zip | 33432-1626
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Country | US
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Telephone | 561-995-2495
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Fax | 561-892-0143
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Provider Business Mailing Address
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Address Line | 1600 NW BOCA RATON BLVD SUITE 14
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City | BOCA RATON
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State | FL
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Zip | 33432-1626
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Country | US
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Telephone | 561-995-2495
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Fax | 561-892-0143
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Authorized Official
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Title or Position | GENERAL MANAGER PRESIDENT
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Name | MARK MATIRE
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Credential |
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Telephone | 561-995-2495
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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 | 1312763
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License Number State | FL
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