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General NPI Number Information
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NPI Number | 1972007482
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Entity Type | Organization
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Legal Business Name | BRACING DIRECT LLC
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 04/03/2019
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Provider Practice Location Address
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Address Line | 4400 N FEDERAL HWY STE 70
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City | BOCA RATON
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State | FL
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Zip | 33431-3430
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Country | US
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Telephone | 561-430-5048
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Fax | 443-242-7438
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Provider Business Mailing Address
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Address Line | 4400 N FEDERAL HWY STE 70
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City | BOCA RATON
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State | FL
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Zip | 33431-3430
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Country | US
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Telephone | 561-430-5048
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Fax | 443-242-7438
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT KRAEMER
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Credential |
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Telephone | 443-695-2431
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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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