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General NPI Number Information
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NPI Number | 1811189111
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Entity Type | Organization
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Legal Business Name | IVANA MEDICAL EQUIPMENT & SUPPLIES CORP
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Dates
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Enumeration Date | 08/10/2007
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 1008 NE 7TH TER UNIT C
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City | CAPE CORAL
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State | FL
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Zip | 33909-3100
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Country | US
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Telephone | 239-458-1320
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Fax | 239-573-1340
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Provider Business Mailing Address
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Address Line | 1008 NE 7TH TER UNIT C
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City | CAPE CORAL
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State | FL
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Zip | 33909-3100
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Country | US
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Telephone | 239-458-1320
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Fax | 239-573-1340
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Authorized Official
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Title or Position | PRESIDENT
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Name | IVONNE CARMONA DE FONTES
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Credential |
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Telephone | 239-458-1320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | YO BE ANNOUNCED
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License Number State | FL
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