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General NPI Number Information
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NPI Number | 1003290297
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Entity Type | Organization
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Legal Business Name | SAINTPAULHEALTHCAREPT, INC.
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Dates
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Enumeration Date | 07/17/2015
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Last Update Date | 07/17/2015
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Provider Practice Location Address
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Address Line | 839 E MONTGOMERY ST
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City | HENDERSON
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State | NC
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Zip | 27536
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Country | US
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Telephone | 516-492-6120
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Fax |
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Provider Business Mailing Address
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Address Line | 839 E MONTGOMERY ST
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City | HENDERSON
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State | NC
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Zip | 27536-5024
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Country | US
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Telephone | 516-492-6120
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | WAEL KAMEL
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Credential | M.D.,
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Telephone | 516-492-6120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 002492231
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number | 002492231
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License Number State | NC
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