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General NPI Number Information
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NPI Number | 1700590296
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Entity Type | Organization
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Legal Business Name | LAKESIDE MED SUPPLIES
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Dates
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Enumeration Date | 01/09/2023
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Last Update Date | 01/09/2023
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Provider Practice Location Address
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Address Line | 2415 SAND LAKE RD STE G
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City | ORLANDO
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State | FL
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Zip | 32809-7701
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Country | US
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Telephone | 917-436-2594
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Fax |
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Provider Business Mailing Address
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Address Line | 2415 SAND LAKE RD STE G
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City | ORLANDO
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State | FL
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Zip | 32809-7701
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KADICHA WILLIAMS
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Credential |
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Telephone | 917-436-2594
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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 |
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License Number State |
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