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General NPI Number Information
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NPI Number | 1780211789
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Entity Type | Organization
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Legal Business Name | INNOVATIVE SERVICES INC
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Dates
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Enumeration Date | 03/27/2020
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 25 POST RD
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City | COLONIE
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State | NY
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Zip | 12205-4781
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Country | US
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Telephone | 518-801-0510
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Fax | 518-375-2709
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Provider Business Mailing Address
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Address Line | 7506 STATE ROUTE 5
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City | CLINTON
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State | NY
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Zip | 13323-3654
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Country | US
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Telephone | 315-853-1280
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Fax | 315-853-6087
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. EDWARD P KRAMM
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Credential |
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Telephone | 913-515-6719
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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