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General NPI Number Information
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NPI Number | 1316076391
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Entity Type | Organization
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Legal Business Name | ADVANTAGE MEDICAL EQUIPMENT AND SUPPLIES, INC.
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 07/10/2009
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Provider Practice Location Address
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Address Line | 517 13TH ST
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City | SAINT CLOUD
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State | FL
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Zip | 34769-4501
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Country | US
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Telephone | 407-891-0141
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Fax | 407-891-0372
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Provider Business Mailing Address
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Address Line | 517 13TH STREET
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City | SAINT CLOUD
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State | FL
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Zip | 34769-1549
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Country | US
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Telephone | 407-891-0141
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Fax | 407-891-0372
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DANNY N BISSON
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Credential |
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Telephone | 407-891-0141
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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 | 1313326
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License Number State | FL
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