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General NPI Number Information
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NPI Number | 1932311842
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Entity Type | Organization
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Legal Business Name | JR WEINSTEIN INC
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4009 SW 30TH AVE
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City | FT LAUDERDALE
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State | FL
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Zip | 33312-6817
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Country | US
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Telephone | 954-321-9762
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Fax |
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Provider Business Mailing Address
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Address Line | 4009 SW 30TH AVE
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City | FT LAUDERDALE
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State | FL
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Zip | 33312-6817
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Country | US
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Telephone | 954-321-9762
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEROLD R WEINSTEIN
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Credential |
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Telephone | 954-321-9762
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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 | 1312824
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License Number State | FL
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