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General NPI Number Information
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NPI Number | 1992750913
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Entity Type | Organization
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Legal Business Name | INNOVATIVE SERVICES INC
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 200 AIRPARK DR SUITE 100
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City | ROCHESTER
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State | NY
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Zip | 14624-5716
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Country | US
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Telephone | 585-328-2050
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Fax | 585-394-2058
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Provider Business Mailing Address
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Address Line | 7506 STATE ROUTE 5 PO BOX 325
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City | CLINTON
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State | NY
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Zip | 13323-3654
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Country | US
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Telephone | 315-853-1280
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Fax | 315-853-1285
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. EDWARD P KRAMM
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Credential |
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Telephone | 913-515-6719
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #4
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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 #5
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 028984
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 028984
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License Number State | NY
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