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General NPI Number Information
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NPI Number | 1013843317
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Entity Type | Organization
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Legal Business Name | INNOMED SYSTEMS LLC
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 303 DOGWOOD CT
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City | WYLIE
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State | TX
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Zip | 75098-3852
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Country | US
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Telephone | 937-359-1847
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Fax |
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Provider Business Mailing Address
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Address Line | 303 DOGWOOD CT
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City | WYLIE
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State | TX
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Zip | 75098-3852
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP
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Name | ROY FERN
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Credential |
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Telephone | 469-394-0598
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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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