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General NPI Number Information
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NPI Number | 1710557798
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Entity Type | Organization
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Legal Business Name | HEMMEN ENTERPRISES LLC
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Dates
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Enumeration Date | 06/30/2021
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Last Update Date | 12/27/2023
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Provider Practice Location Address
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Address Line | 420 S NOVA RD STE 6
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City | ORMOND BEACH
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State | FL
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Zip | 32174-0411
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Country | US
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Telephone | 386-281-3202
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Fax | 386-281-3479
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Provider Business Mailing Address
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Address Line | 420 S NOVA RD STE 6
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City | ORMOND BEACH
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State | FL
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Zip | 32174-0411
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Country | US
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Telephone | 386-281-3202
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Fax | 386-281-3479
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | MR. GEOFFREY HEMMEN
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Credential | CP
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Telephone | 386-281-3202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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