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General NPI Number Information
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NPI Number | 1174452502
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Entity Type | Organization
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Legal Business Name | DME ACADEMY WISCONSIN LLC
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 2441 BELLEVUE AVE
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-5615
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Country | US
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Telephone | 445-200-3669
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Fax |
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Provider Business Mailing Address
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Address Line | 2441 BELLEVUE AVE
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-5615
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Country | US
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Telephone | 445-200-3669
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | DANIEL PANAGGIO
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Credential |
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Telephone | 445-200-3669
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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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