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General NPI Number Information
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NPI Number | 1922037068
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Entity Type | Organization
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Legal Business Name | VERSAILLES HOME HEALTH MEDICAL EQUIPTMENT
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3850 CURRY FORD RD STE A
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City | ORLANDO
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State | FL
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Zip | 32806-2708
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Country | US
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Telephone | 407-896-7676
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Fax | 407-896-7177
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Provider Business Mailing Address
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Address Line | 3850 CURRY FORD RD STE A
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City | ORLANDO
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State | FL
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Zip | 32806-2708
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Country | US
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Telephone | 407-896-7676
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Fax | 407-896-7177
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Authorized Official
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Title or Position | PRESIDENT/OWNER/ADMINISTRATOR
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Name | MR. JUAN CARLOS PEREZ
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Credential |
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Telephone | 407-896-7676
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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 | 13122661
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License Number State | FL
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