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General NPI Number Information
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NPI Number | 1336375963
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Entity Type | Organization
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Legal Business Name | AXIS MEDICAL SOLUTIONS, LLC
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Dates
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Enumeration Date | 06/10/2009
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Last Update Date | 12/28/2011
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Provider Practice Location Address
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Address Line | 535 S DILLARD ST
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City | WINTER GARDEN
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State | FL
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Zip | 34787-3580
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Country | US
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Telephone | 407-601-4937
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Fax | 321-445-5450
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Provider Business Mailing Address
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Address Line | PO BOX 692631
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City | ORLANDO
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State | FL
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Zip | 32869-2631
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Country | US
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Telephone | 407-601-4937
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Fax | 321-445-5450
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. DIANA C PARRA
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Credential |
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Telephone | 407-601-4937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 326762
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License Number State | FL
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Taxonomy #2
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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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