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General NPI Number Information
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NPI Number | 1013294537
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Entity Type | Organization
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Legal Business Name | INNOVATIVE CORPORATE SOLUTIONS, INC.
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Dates
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Enumeration Date | 11/11/2011
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Last Update Date | 02/28/2023
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Provider Practice Location Address
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Address Line | 63 SARASOTA CENTER BLVD STE 103
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City | SARASOTA
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State | FL
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Zip | 34240-9385
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Country | US
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Telephone | 941-342-1646
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Fax |
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Provider Business Mailing Address
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Address Line | 63 SARASOTA CENTER BLVD STE 103
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City | SARASOTA
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State | FL
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Zip | 34240-9385
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Country | US
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Telephone | 941-342-1646
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. HEATHER ANN ONEILL
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Credential | RN
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Telephone | 941-779-5944
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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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