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General NPI Number Information
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NPI Number | 1699389445
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Entity Type | Organization
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Legal Business Name | ALL TECH DEPOT, INC.
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Dates
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Enumeration Date | 08/31/2020
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Last Update Date | 08/31/2020
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Provider Practice Location Address
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Address Line | 1762 SW DAY ST
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34953-1130
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Country | US
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Telephone | 772-834-1258
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Fax | 772-446-4410
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Provider Business Mailing Address
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Address Line | 1762 SW DAY ST
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34953-1130
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Country | US
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Telephone | 772-834-1258
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Fax |
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Authorized Official
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Title or Position | CEO, PRESIDENT
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Name | STEPHEN B LEMANSKI
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Credential |
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Telephone | 772-834-1258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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