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General NPI Number Information
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NPI Number | 1144911256
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Entity Type | Organization
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Legal Business Name | ALLCARE ORTHOTIC & PROSTHETIC SERVICES NY, LLC
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Dates
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Enumeration Date | 05/18/2023
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Last Update Date | 05/18/2023
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Provider Practice Location Address
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Address Line | 2975 WESTCHESTER AVE STE 106
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City | PURCHASE
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State | NY
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Zip | 10577-2596
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Country | US
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Telephone | 908-790-9222
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Fax | 908-688-5785
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Provider Business Mailing Address
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Address Line | 280 ROUTE 35 STE 404
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City | RED BANK
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State | NJ
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Zip | 07701-5900
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Country | US
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Telephone | 908-790-9222
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Fax | 908-688-5785
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Authorized Official
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Title or Position | PRESIDENT OF OPERATIONS
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Name | MR. RICHARD LERNER
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Credential |
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Telephone | 908-790-9222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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