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General NPI Number Information
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NPI Number | 1528673266
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Entity Type | Organization
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Legal Business Name | INOVA HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 09/10/2020
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Last Update Date | 01/07/2023
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Provider Practice Location Address
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Address Line | 4851 TAMIAMI TRL N STE 200
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City | NAPLES
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State | FL
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Zip | 34103-3098
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Country | US
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Telephone | 239-500-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 11207 SUNNY DELIGHT CT
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City | ODESSA
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State | FL
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Zip | 33556-6206
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Country | US
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Telephone | 239-500-4500
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JOHN LEBOEUF
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Credential |
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Telephone | 877-377-3880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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