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General NPI Number Information
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NPI Number | 1083990683
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Entity Type | Organization
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Legal Business Name | HANDI-VAN, INC
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Dates
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Enumeration Date | 10/26/2011
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Last Update Date | 10/26/2011
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Provider Practice Location Address
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Address Line | 54 FREEMANS BRIDGE RD
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City | SCOTIA
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State | NY
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Zip | 12302-3507
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Country | US
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Telephone | 518-346-1232
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Fax | 518-346-1248
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Provider Business Mailing Address
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Address Line | 54 FREEMANS BRIDGE RD
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City | SCOTIA
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State | NY
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Zip | 12302
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Country | US
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Telephone | 518-346-1232
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Fax | 518-346-1248
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Authorized Official
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Title or Position | MEDICAL BILLING MANG
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Name | MRS. BRENDA LEE ACORS
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Credential |
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Telephone | 518-346-1232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State | NY
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