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General NPI Number Information
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NPI Number | 1104123868
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Entity Type | Organization
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Legal Business Name | EMPIRE DME SERVICES
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Dates
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Enumeration Date | 02/16/2011
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Last Update Date | 10/18/2012
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Provider Practice Location Address
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Address Line | 620 W. 42ND ST.
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City | NEW YORK
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State | NY
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Zip | 10036
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Country | US
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Telephone | 800-903-5925
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 435
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City | SCARSDALE
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State | NY
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Zip | 10583
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CONSULTANT
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Name | DAVE SUTTON
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Credential |
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Telephone | 18009035925
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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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