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General NPI Number Information
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NPI Number | 1952886012
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Entity Type | Organization
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Legal Business Name | ATMED DURABLE MEDICAL EQUIPMENT LLC
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Dates
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Enumeration Date | 09/25/2018
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Last Update Date | 09/25/2018
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Provider Practice Location Address
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Address Line | 4009 NW 1ST PL
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-8011
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Country | US
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Telephone | 954-268-7553
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Fax | 844-266-5234
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Provider Business Mailing Address
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Address Line | 4009 NW 1ST PL
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-8011
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Country | US
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Telephone | 954-268-7553
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Fax | 844-266-5234
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Authorized Official
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Title or Position | MANAGER
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Name | MR. JERROD WRIGHT
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Credential |
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Telephone | 954-268-7553
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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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