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General NPI Number Information
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NPI Number | 1053485516
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Entity Type | Organization
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Legal Business Name | MELMAR REHAB
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 08/19/2009
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Provider Practice Location Address
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Address Line | 13402 91ST AVE
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City | RICHMOND HILL
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State | NY
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Zip | 11418-2801
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Country | US
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Telephone | 718-206-3600
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Fax | 718-206-4219
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Provider Business Mailing Address
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Address Line | PO BOX 180277
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City | RICHMOND HILL
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State | NY
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Zip | 11418-0277
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Country | US
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Telephone | 718-206-3600
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MELVIN EPSTEIN
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Credential |
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Telephone | 718-206-3600
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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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