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General NPI Number Information
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NPI Number | 1184579856
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Entity Type | Organization
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Legal Business Name | DIGI DYNASTY LLC
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Dates
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Enumeration Date | 02/27/2026
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 2200 KINGS HWY # 3L3
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City | PORT CHARLOTTE
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State | FL
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Zip | 33980-5759
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Country | US
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Telephone | 727-405-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 23209 BLACKWELL AVE
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-2914
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Country | US
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Telephone | 727-405-6900
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOHN M STEVENS
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Credential |
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Telephone | 786-989-2559
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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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