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General NPI Number Information
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NPI Number | 1699761999
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Entity Type | Organization
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Legal Business Name | KELMEDIX INC
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Dates
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Enumeration Date | 09/22/2005
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Last Update Date | 12/18/2018
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Provider Practice Location Address
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Address Line | 4646 COMMERCIAL WAY
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City | SPRING HILL
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State | FL
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Zip | 34606
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Country | US
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Telephone | 352-592-1063
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Fax | 352-592-1064
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Provider Business Mailing Address
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Address Line | 4646 COMMERCIAL WAY
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City | SPRING HILL
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State | FL
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Zip | 34606
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Country | US
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Telephone | 352-592-1063
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Fax | 352-592-1064
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Authorized Official
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Title or Position | COO
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Name | MRS. SHARON J SWANSTON
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Credential |
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Telephone | 352-592-1063
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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 | 3700016853797
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #3
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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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