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General NPI Number Information
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NPI Number | 1457677916
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Entity Type | Organization
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Legal Business Name | SPRINGSMED LLC
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Dates
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Enumeration Date | 04/08/2010
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Last Update Date | 06/17/2013
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Provider Practice Location Address
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Address Line | 9114 BONITA BEACH RD SE
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-4207
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Country | US
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Telephone | 239-908-2776
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Fax | 866-587-6694
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Provider Business Mailing Address
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Address Line | PO BOX 1258
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City | BONITA SPRINGS
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State | FL
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Zip | 34133-1258
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Country | US
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Telephone | 239-908-2776
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Fax | 866-587-6694
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Authorized Official
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Title or Position | DIRECTOR
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Name | HELI A SHULTZ
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Credential | J.D.
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Telephone | 239-908-2776
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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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