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General NPI Number Information
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NPI Number | 1295739928
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Entity Type | Organization
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Legal Business Name | INTEGRATED MEDICAL INC
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Dates
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Enumeration Date | 06/10/2005
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Last Update Date | 02/08/2010
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Provider Practice Location Address
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Address Line | 15627 NEO PKWY
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City | CLEVELAND
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State | OH
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Zip | 44128-3150
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Country | US
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Telephone | 216-332-1550
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Fax | 216-332-1555
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Provider Business Mailing Address
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Address Line | 15627 NEO PKWY
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City | CLEVELAND
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State | OH
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Zip | 44128-3150
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Country | US
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Telephone | 216-332-1550
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Fax | 216-332-1555
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MS. JENNIFER L SYLVESTER
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Credential |
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Telephone | 216-332-1550
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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 | 18471226
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License Number State | OH
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