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General NPI Number Information
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NPI Number | 1457080863
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Entity Type | Organization
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Legal Business Name | OLMI MEDICAL SUPPLY, INC
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Dates
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Enumeration Date | 06/09/2022
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Last Update Date | 10/20/2022
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Provider Practice Location Address
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Address Line | 5052 POPE JOHN PAUL 11 BLVD
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City | AVE MARIA
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State | FL
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Zip | 34142
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Country | US
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Telephone | 866-970-2965
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Fax |
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Provider Business Mailing Address
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Address Line | 5052 POPE JOHN PAUL 11 BLVD
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City | AVE MARIA
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State | FL
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Zip | 34142-9576
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Country | US
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Telephone | 866-970-2965
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NICOLE OLMINO
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Credential |
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Telephone | 866-970-2965
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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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