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General NPI Number Information
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NPI Number | 1184650574
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Entity Type | Organization
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Legal Business Name | ANOVA MEDICAL SUPPLY, INC.
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 04/16/2023
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Provider Practice Location Address
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Address Line | 286 WASHINGTON AVENUE EXT STE 204
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City | ALBANY
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State | NY
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Zip | 12203-6303
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Country | US
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Telephone | 518-283-0206
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Fax | 518-283-1628
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Provider Business Mailing Address
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Address Line | 286 WASHINGTON AVENUE EXT STE 204
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City | ALBANY
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State | NY
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Zip | 12203-6303
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Country | US
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Telephone | 518-283-0206
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Fax | 518-283-1628
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Authorized Official
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Title or Position | PRESIDENT
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Name | OLGA KRUPINSKI
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Credential |
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Telephone | 518-283-0206
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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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