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General NPI Number Information
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NPI Number | 1962782417
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Entity Type | Organization
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Legal Business Name | INTERACTIVE MEDICAL TECHNOLOGIES CORPORATION
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Dates
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Enumeration Date | 08/27/2011
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Last Update Date | 08/27/2011
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Provider Practice Location Address
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Address Line | 400 NORTHPOINT PKWY SUITE 700
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-1988
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Country | US
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Telephone | 561-775-4605
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Fax | 561-776-1914
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Provider Business Mailing Address
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Address Line | 400 NORTHPOINT PKWY SUITE 700
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-1988
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Country | US
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Telephone | 561-775-4605
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Fax | 561-776-1914
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. MICHAEL LAING
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Credential |
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Telephone | 561-775-4605
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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 | FL
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