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General NPI Number Information
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NPI Number | 1962078014
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Entity Type | Organization
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Legal Business Name | WIRE MEDICAL INC
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Dates
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Enumeration Date | 05/30/2021
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Last Update Date | 05/30/2021
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Provider Practice Location Address
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Address Line | 924 N MAGNOLIA AVE STE 202
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City | ORLANDO
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State | FL
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Zip | 32803-3220
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Country | US
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Telephone | 407-476-4010
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Fax |
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Provider Business Mailing Address
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Address Line | 924 N MAGNOLIA AVE STE 202
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City | ORLANDO
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State | FL
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Zip | 32803-3220
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Country | US
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Telephone | 407-476-4010
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MICHAEL HUGHES SHAW
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Credential |
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Telephone | 407-476-4010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2472B0301X
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Taxonomy Name | Biomedical Engineering Technician
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License Number |
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License Number State |
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Taxonomy #2
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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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