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General NPI Number Information
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NPI Number | 1083672208
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Entity Type | Organization
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Legal Business Name | DIAGNOSTIC MEDICAL TESTING INC
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 5304 MILE STRETCH DR
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City | HOLIDAY
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State | FL
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Zip | 34690-6060
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Country | US
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Telephone | 727-940-5908
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Fax | 866-404-2411
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Provider Business Mailing Address
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Address Line | 5304 MILE STRETCH DR
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City | HOLIDAY
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State | FL
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Zip | 34690-6060
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Country | US
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Telephone | 727-940-5908
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Fax | 866-404-2411
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANTHONY CROXTON II
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Credential |
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Telephone | 877-202-1191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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