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General NPI Number Information
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NPI Number | 1841982782
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Entity Type | Organization
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Legal Business Name | ITZSEBBYYY LLC
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 1301 CAROLINA AVE APT 3
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City | COOKEVILLE
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State | TN
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Zip | 38501-1138
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Country | US
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Telephone | 323-561-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 CAROLINA AVE APT 3
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City | COOKEVILLE
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State | TN
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Zip | 38501-1138
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Country | US
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Telephone | 323-561-9800
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MR. KAILAND IVORY CAREY
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Credential |
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Telephone | 323-561-9800
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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 |
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License Number State |
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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 |
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License Number State |
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