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General NPI Number Information
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NPI Number | 1245339845
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Entity Type | Organization
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Legal Business Name | ADVANCED MEDICAL PRODUCTS OF SOUTHWEST FLORIDA, INC.
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 04/29/2011
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Provider Practice Location Address
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Address Line | 4171 BONITA BEACH RD
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City | BONITA SPRINGS
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State | FL
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Zip | 34134-4040
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Country | US
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Telephone | 239-948-4340
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Fax |
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Provider Business Mailing Address
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Address Line | 4171 BONITA BEACH RD
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City | BONITA SPRINGS
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State | FL
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Zip | 34134-4040
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Country | US
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Telephone | 239-948-4340
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS SUANNE JAY
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Credential |
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Telephone | 239-948-4340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 1489
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License Number State | FL
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