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General NPI Number Information
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NPI Number | 1225498942
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Entity Type | Organization
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Legal Business Name | IHOME REHAB,LLC
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Dates
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Enumeration Date | 02/24/2016
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Last Update Date | 02/24/2016
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Provider Practice Location Address
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Address Line | 344 JERICHO TPKE
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City | FLORAL PARK
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State | NY
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Zip | 11001-2173
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Country | US
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Telephone | 212-603-9299
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Fax | 212-603-9921
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Provider Business Mailing Address
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Address Line | 107 JERICHO TPKE
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City | FLORAL PARK
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State | NY
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Zip | 11001-2023
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Country | US
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Telephone | 212-603-9299
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Fax | 212-603-9921
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Authorized Official
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Title or Position | MEMBER OF LLC/PRESIDENT
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Name | MR. SHIMON ALAYEV
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Credential | DME COMPANY
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Telephone | 212-603-9299
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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 | 2022075-DCA
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License Number State | NY
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