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General NPI Number Information
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NPI Number | 1255809539
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Entity Type | Organization
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Legal Business Name | NEW LEVEL 3
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Dates
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Enumeration Date | 11/05/2018
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Last Update Date | 02/08/2019
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Provider Practice Location Address
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Address Line | 6623 SUPERIOR AVE STE D
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City | SARASOTA
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State | FL
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Zip | 34231-5801
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Country | US
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Telephone | 904-349-7756
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Fax |
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Provider Business Mailing Address
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Address Line | 6623 SUPERIOR AVE STE D
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City | SARASOTA
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State | FL
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Zip | 34231-5801
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Country | US
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Telephone | 941-706-2671
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Fax | 941-388-7888
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | AIDA GARCIA
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Credential |
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Telephone | 941-706-2671
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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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