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General NPI Number Information
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NPI Number | 1043826522
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Entity Type | Organization
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Legal Business Name | FELICIA CPAP PROVIDERS LLC
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Dates
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Enumeration Date | 09/19/2020
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Last Update Date | 09/19/2020
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Provider Practice Location Address
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Address Line | 2545 HEMPSTEAD TPKE STE LL20
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City | EAST MEADOW
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State | NY
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Zip | 11554-2194
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Country | US
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Telephone | 516-622-0401
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Fax | 201-530-6047
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Provider Business Mailing Address
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Address Line | 7 REUTEN DR STE I
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City | CLOSTER
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State | NJ
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Zip | 07624-2121
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Country | US
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Telephone | 201-660-7888
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Fax | 201-530-6047
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Authorized Official
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Title or Position | OWNER AND CEO
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Name | RAJU AUGUSTINE
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Credential |
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Telephone | 201-660-7888
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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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