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General NPI Number Information
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NPI Number | 1306781224
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Entity Type | Organization
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Legal Business Name | LOAD N DASH INC
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 4690 LIPSCOMB ST NE STE 3F
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City | PALM BAY
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State | FL
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Zip | 32905-2929
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Country | US
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Telephone | 321-574-8008
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Fax |
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Provider Business Mailing Address
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Address Line | 4690 LIPSCOMB ST NE STE 3F
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City | PALM BAY
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State | FL
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Zip | 32905-2929
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Country | US
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Telephone | 321-574-8008
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RONALD DESISTE
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Credential |
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Telephone | 321-574-8008
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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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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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