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General NPI Number Information
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NPI Number | 1811935992
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Entity Type | Organization
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Legal Business Name | INGOLIA MEDICAL SERVICE, INC.
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1790 S LIVERNOIS RD STE. 113
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-3375
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Country | US
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Telephone | 248-299-3655
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Fax | 248-299-3695
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Provider Business Mailing Address
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Address Line | 1739 BROOKVIEW CIR
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48304-1220
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Country | US
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Telephone | 248-299-3655
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Fax | 248-299-3695
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD P. INGOGLIA
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Credential |
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Telephone | 248-299-3655
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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 | MI
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