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General NPI Number Information
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NPI Number | 1083066468
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Entity Type | Organization
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Legal Business Name | I MANAGEMENT LLC
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Dates
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Enumeration Date | 07/08/2016
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Last Update Date | 07/08/2016
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Provider Practice Location Address
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Address Line | 1034 S JACKSON ST
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City | LOUISVILLE
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State | KY
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Zip | 40203-3422
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Country | US
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Telephone | 702-444-8266
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1981
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City | LOUISVILLE
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State | KY
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Zip | 40201-1981
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Country | US
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Telephone | 702-444-8266
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Fax |
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Authorized Official
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Title or Position | OWNER / COO
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Name | VINCENTE HELM
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Credential |
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Telephone | 702-444-8266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State | KY
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