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General NPI Number Information
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NPI Number | 1558311233
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Entity Type | Organization
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Legal Business Name | MED-ZONE INC
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 08/31/2007
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Provider Practice Location Address
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Address Line | 2400B TAMIAMI TRL
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-3922
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Country | US
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Telephone | 941-764-9566
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Fax | 941-764-0430
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Provider Business Mailing Address
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Address Line | 2400B TAMIAMI TRL
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-3922
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Country | US
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Telephone | 941-764-9566
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Fax | 941-764-0430
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | MR. JOSEPH MICHAEL LUKSHA JR.
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Credential | PRESIDENT
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Telephone | 941-764-9566
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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 | 1001
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License Number State | FL
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