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General NPI Number Information
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NPI Number | 1831417203
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Entity Type | Organization
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Legal Business Name | INFINITE DME SERVICES
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Dates
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Enumeration Date | 05/11/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2300 N PERSHING DR SUITE 375
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City | ARLINGTON
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State | VA
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Zip | 22201-1428
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Country | US
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Telephone | 703-528-1565
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Fax | 202-465-4649
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Provider Business Mailing Address
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Address Line | 2300 N PERSHING DR SUITE 375
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City | ARLINGTON
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State | VA
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Zip | 22201-1428
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Country | US
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Telephone | 703-528-1565
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Fax | 202-465-4649
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KEITH MICHAEL HOLDAN
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Credential |
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Telephone | 703-528-1565
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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 | VA
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 123456
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License Number State | VA
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Taxonomy #3
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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 | DC
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