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General NPI Number Information
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NPI Number | 1043012735
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Entity Type | Organization
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Legal Business Name | HEALTHPROSUPPLY LLC
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 42 BROADWAY FL 12
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City | NEW YORK
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State | NY
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Zip | 10004-1617
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Country | US
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Telephone | 347-712-8287
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Fax |
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Provider Business Mailing Address
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Address Line | 368 E 96TH ST
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City | BROOKLYN
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State | NY
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Zip | 11212-2630
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Country | US
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Telephone | 347-712-8287
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. ADRIEL ANSLEY JOHNSON
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Credential |
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Telephone | 347-712-8287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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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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