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General NPI Number Information
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NPI Number | 1033123765
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Entity Type | Organization
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Legal Business Name | MEDI-SYSTEMS
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 05/20/2016
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Provider Practice Location Address
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Address Line | 225 DELLA CT
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City | SPRING HILL
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State | FL
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Zip | 34606-5358
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Country | US
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Telephone | 352-683-3545
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Fax | 352-683-4236
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Provider Business Mailing Address
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Address Line | 225 DELLA CT
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City | SPRING HILL
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State | FL
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Zip | 34606-5358
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Country | US
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Telephone | 352-683-3545
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Fax | 352-683-4236
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MRS. TAMMY MCKENZIE
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Credential |
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Telephone | 352-683-3545
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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 | 684
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License Number State | FL
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