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General NPI Number Information
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NPI Number | 1891138459
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Entity Type | Organization
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Legal Business Name | ATLAS MEDICAL SERVICES, INC
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Dates
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Enumeration Date | 04/14/2013
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Last Update Date | 04/14/2013
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Provider Practice Location Address
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Address Line | 3859 VAN DYKE RD SUITE 161
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City | LUTZ
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State | FL
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Zip | 33548
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Country | US
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Telephone | 813-964-1111
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Fax | 813-908-0411
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Provider Business Mailing Address
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Address Line | 3859 VAN DYKE RD SUITE 161
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City | LUTZ
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State | FL
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Zip | 33548
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Country | US
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Telephone | 813-964-1111
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Fax | 813-908-0411
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PAUL KAVANAGH
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Credential |
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Telephone | 813-964-1111
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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 |
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