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General NPI Number Information
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NPI Number | 1093628224
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Entity Type | Organization
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Legal Business Name | DOR DUREABLE LLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 82-01 BS 251ST
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City | BELLEROSE
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State | NY
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Zip | 11426
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Country | US
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Telephone | 267-694-8393
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Fax |
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Provider Business Mailing Address
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Address Line | 82-01 BS 251ST
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City | BELLEROSE
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State | NY
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Zip | 11426
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Country | US
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Telephone | 267-694-8393
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JUDEX DOR
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Credential |
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Telephone | 267-694-8393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BD1200X
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Taxonomy Name | Dialysis Equipment & Supplies (DME)
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License Number |
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License Number State | NULL
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