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General NPI Number Information
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NPI Number | 1225927528
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Entity Type | Organization
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Legal Business Name | BIOMEDEX LLC
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 38301 MARTIN LUTHER KING BLVD
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City | DADE CITY
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State | FL
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Zip | 33525-3520
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Country | US
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Telephone | 816-666-0516
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Fax | 645-218-4789
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Provider Business Mailing Address
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Address Line | 38301 MARTIN LUTHER KING BLVD
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City | DADE CITY
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State | FL
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Zip | 33525-3520
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Country | US
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Telephone | 816-666-0516
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Fax | 645-218-4789
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Authorized Official
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Title or Position | MEDICAL EXERCISE SPECIALIST
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Name | MARRIA DARDEN
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Credential | AMES, CPT, CES,
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Telephone | 816-666-0516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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