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General NPI Number Information
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NPI Number | 1750545653
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Entity Type | Organization
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Legal Business Name | INDOOR AIR QUALITY ASSESSMENT & REMEDIATION AGENCY
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 07/14/2008
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Provider Practice Location Address
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Address Line | 8976 SEMINOLE BLVD
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City | SEMINOLE
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State | FL
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Zip | 33772-3850
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Country | US
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Telephone | 727-393-3327
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Fax | 727-319-4430
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Provider Business Mailing Address
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Address Line | 8976 SEMINOLE BLVD
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City | SEMINOLE
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State | FL
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Zip | 33772-3850
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Country | US
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Telephone | 727-393-3327
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Fax | 727-319-4430
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. JOHN O SHANNON
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Credential | CES
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Telephone | 727-393-3327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | SEMINOLE 635
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License Number State | FL
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