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General NPI Number Information
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NPI Number | 1578606075
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Entity Type | Organization
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Legal Business Name | NOVEL MEDICAL LLC
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 445 CROSS POINTE BLVD SUITE 220
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City | EVANSVILLE
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State | IN
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Zip | 47715-4012
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Country | US
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Telephone | 812-962-1540
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Fax | 812-962-1545
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Provider Business Mailing Address
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Address Line | 445 CROSS POINTE BLVD SUITE 220
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City | EVANSVILLE
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State | IN
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Zip | 47715-4012
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Country | US
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Telephone | 812-962-1540
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Fax | 812-962-1545
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID ALLEN COCANOWER
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Credential | M.D.
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Telephone | 812-473-1737
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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 | 0111420156
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License Number State | IN
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