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General NPI Number Information
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NPI Number | 1326121369
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Entity Type | Organization
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Legal Business Name | INNOVATIVE SERVICES INC
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 09/16/2019
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Provider Practice Location Address
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Address Line | 435 LAWRENCE BELL DR STE 1B
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City | BUFFALO
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State | NY
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Zip | 14221-8442
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Country | US
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Telephone | 716-565-2110
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 325
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City | CLINTON
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State | NY
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Zip | 13323-0325
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Country | US
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Telephone | 315-853-1280
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Fax | 315-853-6087
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Authorized Official
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Title or Position | VP, CIO
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Name | MS. ALYCE M CROSSMAN
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Credential |
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Telephone | 315-853-1280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 0701L005
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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